唐进美 李艳红

【摘要】 目的：探讨鸟巢式护理干预在新生儿黄疸中的效果及家长满意度。方法：选取笔者所在医院2019年1-10月的70例新生儿黄疸患儿，根据护理方法差异分组，护理一组实施了常规新生儿护理流程，护理二组实施鸟巢式护理干预。比较两组护理前后血清胆红素浓度、血氧饱和度、家长满意度、出暖箱时间、哭闹时间、面部表情评分、抓伤发生率。结果：护理1周后护理二组血清胆红素浓度、血氧饱和度优于护理一组（P<0.05）。护理二组的家长满意度100%（35/35），护理一组则是80%（28/35），差异有统计学意义（字2=6.933，P=0.013）。护理二组出暖箱时间、哭闹时间、面部表情评分优于护理一组（P<0.05）。护理二组抓伤发生率低于护理一组（P<0.05）。结论：新生儿黄疸患儿实施鸟巢式护理干预相对于常规的新生儿护理流程效果更好，可有效减轻患儿的痛苦，缩短病程，减少抓伤发生率，提高患儿家长满意度。

【关键词】 鸟巢式护理干预 新生儿黄疸 效果 家长满意度

doi：10.14033/j.cnki.cfmr.2020.20.028 文献标识码 B 文章编号 1674-6805（2020）20-00-02

Observation on the Effect of Nest Nursing Intervention in Neonatal Jaundice/TANG Jinmei， LI Yanhong. //Chinese and Foreign Medical Research， 2020， 18（20）： -73

[Abstract] Objective： To explore the effect of nest nursing intervention in neonatal jaundice and the satisfaction of parents. Method： A total of 70 cases of neonatal jaundice from January to October 2019 in our hospital were divided into two groups according to the difference of nursing methods. The nursing group 1 carried out the routine neonatal nursing process， and the nursing group 2 carried out the nest nursing intervention. The serum bilirubin concentration， blood oxygen saturation， parents satisfaction， warm-up time， crying time， facial expression score and scratching rate were compared before and after nursing. Result： One week after nursing， the serum bilirubin concentration and oxygen saturation of the nursing group 2 were better than that of the nursing group 1 （P<0.05）. The satisfaction rate of parents in nursing group 2 was 100% （35/35）， while that in nursing group 1 was 80% （28/35）， there was significant difference （字2=6.933， P=0.013）. The warm-up time， crying time and facial expression scores of the nursing group 2 were better than those of the nursing group 1 （P<0.05）. The incidence of scratch in the nursing group 2 was lower than that in the nursing group 1 （P<0.05）. Conclusion： Compared with the routine nursing process， the nest nursing intervention is more effective in reducing the pain， shortening the course of disease， reducing the incidence of scratch and improving the satisfaction of parents.

[Key words] Nest nursing intervention Neonatal jaundice Effect Satisfaction of parents

First-authors address： Quanzhou Childrens Hospital， Quanzhou 362000， China

新生兒群体是一个特殊的群体，新生儿护理一直是社会关注的问题[1]。新生儿护理非常重要。将有效的护理方法应用于临床实践，不仅可以提高新生儿的护理质量和满意度，而且可以缩短新生儿的住院时间。新生儿刚刚离开母亲和最初的生长环境，处于比较脆弱的状态，很难直接适应外界环境，有的甚至需要在保温箱里观察一段时间。新生儿黄疸是常见疾病，一般实施光照治疗，但为了进一步促进新生儿健康成长，改善黄疸症状，鸟巢护理方法应用于临床是最科学的护理方法之一，可让新生儿更好地生长发育[1-2]。本研究将笔者所在医院2019年1-10月的70例新生儿黄疸患儿，根据护理方法差异分组，护理一组实施常规的新生儿护理流程，护理二组实施鸟巢式护理干预。比较两组护理前后血清胆红素浓度、血氧饱和度、家长满意度、出暖箱时间、哭闹时间、面部表情评分、抓伤发生率，探讨鸟巢式护理干预在新生儿黄疸中的效果及对家长满意度的影响，具体如下。……