摘要
目的 观察蓝光照射治疗黄疸新生儿期间应用强化风险管理的效果。方法 按照随机数表法将490例患儿分为研究组 (强化风险管理+常规干预,n=245)及对照组(常规干预,n=245)。比较干预前、干预5d时两组患儿血清总胆红素指 标水平表达情况,对比干预过程中不良事件发生情况及护理满意度差异。结果 两组患儿干预5d时,血清总胆红素 水平均较干预前降低(P均<0.05),且研究组低于对照组(P均<0.05);研究组不良事件发生率为4.08%,对照组不 良事件发生率为13.88%(χ2 =10.220,P=0.001);研究组患儿家属护理满意度为94.69%,研究组患儿家属护理满意 度为82.04%(χ2 =5.390,P=0.020)。结论 强化风险管理能够有效降低患儿蓝光照射治疗期间不良事件发生风险, 效果优于常规护理。
Objective To observe the effects of intensive risk management in blue light irradiation for neonatal jaundice. Methods 490 children patients were divided into study group (intensive risk management + routine intervention, n=245) and control group (conventional intervention, n=245) according to the random number table method. The expression level of serum total bilirubin in the two groups was compared before intervention and after 5 d of intervention, and the occurrence of adverse events and nursing satisfaction were compared during intervention. Results After 5 d of intervention, the serum total bilirubin level was lower than that before intervention (all P<0.05), and the level in study group was lower than that in control group (all P<0.05). The incidence rate of adverse events was 4.08% in study group and was 13.88% in control group (χ2 =10.220, P=0.001). The nursing satisfaction of family members was 94.69% in study group and was 82.04% in control group (χ2 =5.390, P=0.020). Conclusion Intensive risk management can effectively reduce the risk of adverse events during blue light irradiation for children patients, and its effects are better than conventional nursing
【关键词】蓝光照射;新生儿黄疸;强化风险管理;总胆红素
【中图分类号】R722.17;R454.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.01.040
前言
新生儿黄疸是新生儿时期常见生理及病理现象, 胆红素生成过多是其首要致病因[1]。患儿主要症状表 现为皮肤及巩膜呈浅黄色泽,严重者遍及全身。若不 能得到及时有效的治疗及护理干预,则可能诱发包括 败血症及新生儿肺炎等疾病在内的并发症,严重影响 患儿生长发育。临床上对于新生儿黄疸治疗方式主要 包括换血疗法、药物疗法及蓝光照射疗法,其中蓝光 照射疗法能够有效降低血清未结合胆红素水平,见效 快,广泛应用于临床[2]。但是该疗法容易受到多种因 素的干扰(照射时间、光照面积、黄疸病因等),导致 一系列不良事件发生,不利于治疗效果。针对这一情 况,强化风险管理作为预防性护理干预模式,能够最大程度上杜绝治疗过程中可能存在的隐患,降低不良 事件发生风险,提高临床护理质量。鉴于此,本研究 观察蓝光照射治疗期间强化风险管理的应用效果,为 优化临床干预模式提供参考,报告如下。
罕少疾病杂志
第26卷, 第 1 期
2019年01月
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