摘要
目的 探讨在新生儿黄疸患儿中采取新生儿护理预警机制的应用价值。方法 选取2023年5月至2024年8月收治的90例新生儿黄疸患儿,根据随机数字表法分组,对照组(采取常规照护模式,45例),观察组(实施新生儿护理预警机制模式,45例)。对比护理前后患儿血清总胆红素及黄疸指数,并比较两组患儿初次排便/胎便转黄/黄疸消退/总住院时间,及护理期间的不良事件风险。结果 观察组总胆红素、黄疸指数、不良事件发生率均低于对照组,且患儿初次排便/胎便转黄/黄疸消退/总住院时间均短于对照组(P<0.05)。结论 对新生儿黄疸患儿采取新生儿护理预警机制干预能改善患儿临床症状,促进患儿康复,且护理安全性更高,值得推广。
关键词: 新生儿黄疸;新生儿护理预警机制;总胆红素;黄疸指数
Abstract
Objective To explore the application value of early warning mechanism of neonatal nursing in children with neonatal jaundice. Methods 90 children with neonatal jaundice treated from May 2023 to August 2024 were divided into two groups according to random number table method: control group (45 cases in routine care mode) and observation group (45 cases in early warning mechanism mode in neonatal care). Serum total bilirubin and jaundice index were compared before and after nursing, and the first defecation/fetal yellow turn/jaundice resolution/total length of hospital stay and the risk of adverse events during nursing were compared between the two groups. Results The total bilirubin, jaundice index and incidence of adverse events in the observation group were lower than those in the control group, and the first defecation/yellow turn of the pregnancy/jaundice resolution/total hospital stay were shorter than those in the control group (P < 0.05). Conclusion The early warning mechanism of neonatal nursing for neonatal jaundice children can improve the clinical symptoms, promote the rehabilitation of children, and nursing safety is higher, worthy of promotion.
Key words: Neonatal jaundice; Early warning mechanism of newborn care; Total bilirubin; Jaundice index
参考文献 References
[1] 谢冰,高迪.PEWS模式护理在新生儿黄疸中的应用效果[J].中国民康医学,2025,37(04):191-193.
[2] 王亚丽.预警机制在新生儿黄疸蓝光照射护理中的应用价值探究[J].首都食品与医药,2020,27(02):174.
[3] 周乐,杨茜,陈叶梅.基于儿童早期预警系统模式护理在新生儿黄疸患儿中的应用效果[J].基层医学论坛,2024, 28(14): 134-137.
[4] 刘艳华.基于儿童早期预警系统的护理模式在新生儿黄疸中的应用[J].妇儿健康导刊,2025,4(02):141-144+153.
[5] 郭红林,余磊,张海霞,等.预警干预护理在新生儿黄疸中的应用效果[J].中国当代医药,2020,27(20):205-207.
[6] 姚慧梅,黄映嫦,姚映笑,等.短时蓝光照射联合预警式护理对新生儿黄疸患儿血清TBIL水平的影响及安全性分析[J].现代医学与健康研究电子杂志,2020,4(04):93-95.
[7] 艾红,艾青,舒铁梅.预警管理在新生儿黄疸护理中的应用效果[J].临床医学工程,2023,30(10):1461-1462.
[8] 李群.预警安全机制对预防蓝光照射新生儿黄疸患儿不良事件的影响[J].中国当代医药,2020,27(08):206-209.