颜丽华 周丽玲 欧阳玲

[摘要] 目的 分析風险护理模式在新生儿黄疸蓝光照射治疗中对疗效及患儿安全性的影响。方法 方便选取该院2018年1月—2019年1月收治的100例新生儿黄疸患儿纳入至该次研究，依照数字随机表法将其分为对照组（50例）与观察组（50例），两组患儿均接受蓝光照射治疗，在此基础上，对照组给予基础护理，观察组则行风险护理干预，比较两组患者治疗情况，统计风险性事件发生情况，观察治疗效果和护理满意度。结果 对照组患儿住院时间、黄疸持续时间长于观察组，睡眠时间短于观察组，大便次数少于观察组，对比差异有统计学意义（t1=18.805，t2=69.060，t3=4.097，t4=8.148，P<0.05）。对照组患儿风险事件总发生率40.00%高于观察组8.00%，对比差异有统计学意义（χ2=28.070，P<0.05）。对照组患儿临床治疗的总有效率84.00%低于观察组96.00%，对比差异有统计学意义（χ2=8.000，P<0.05）。结论 在新生儿黄疸患儿接受蓝光照射治疗时，采用风险护理模式的临床效果显著。

[关键词] 风险护理;新生儿黄疸;蓝光照射;安全性

[中图分类号] R473.72          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0139-04

Effect of Risk Nursing Mode on the Efficacy and Safety of Neonatal Jaundice with Blue Light Irradiation

YAN Li-hua1， ZHOU Li-ling1， OUYANG Ling2

1.Department of Gynecology， Pediatrics Department， Army Group 73 Military Hospital， Xiamen， Fujian Province， 361000 China; 2.Human Resources Office， Army Group 73 Military Hospital， People's Liberation Army， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To analyze the effect of risk nursing mode on the efficacy and safety of children with neonatal jaundice and blue light irradiation. Methods Convenient select 100 neonatal jaundice children treated in the hospital from January 2018 to January 2019 were included in this study， and they were divided into the control group （50 cases） and the observation group （50 cases） according to the digital random table method. The two groups of children received blue light irradiation treatment. Based on this， the control group was given basic care， and the observation group was given risk nursing intervention. The treatment status of the two groups was compared， the occurrence of risk events was counted， and the treatment effect and nursing satisfaction were observed. Results The length of hospital stay and jaundice in the control group were longer than those in the observation group， and the sleep time was shorter than that in the observation group. The number of stools was less than that in the observation group， the difference was statistically significant（t1=18.805，t2=69.060，t3=4.097，t4=8.148，P<0.05）. The total incidence of risk events in the control group was 40.00% higher than that in the observation group 8.00%， and the difference was statistically significant （χ2=28.070，P<0.05）. The total effective rate of clinical treatment in the control group was 84.00% lower than that in the observation group of 96.00%， and the difference was statistically significant（χ2=8.000，P<0.05）. Conclusion The clinical effect of adopting risk nursing mode is significant when neonatal jaundice children are treated with Blue Light Irradiation， and it is worth promoting in clinical treatment.

[Key words] Risk nursing; Neonatal jaundice; Blue light irradiation; Safety

新生儿黄疸是一种较为常见的临床疾病，主要是由于婴儿体内的血清总胆红素水平过高引起的[1]。有研究结果显示，新生儿高胆红素血症的患病人数呈现逐年增加的趋势，严重影响了新生儿的正常生长发育。蓝光照射是目前临床上治疗新生儿黄疸的常用方法，能有效改善患儿的临床症状，治疗效果显著，然而此方法在治疗的过程中给存在一定的风险性，影响了临床治疗效果[2]。近期有学者在研究中指出，在新生儿黄疸患儿接受治疗的过程中加强风险护理干预可有效防止风险事件的发生，提高临床护理质量。基于此，该次研究针对2018年1月—2019年1月收治的100例新生儿黄疸患儿采用风险护理模式方案，旨在为临床研究利用此方案提高新生儿黄疸患儿的护理质量提供依据，现报道如下。……