摘要
目的:分析在新生儿黄疸患儿中应用保护性睡眠护理联合水疗的临床价值。方法:选取2020年7月至2022年7月福建省漳州市诏安县医院收治的新生儿中的黄疸患儿70例作为研究对象,按照随机数字表分为对照组和观察组,每组35例。对照组给予保护性睡眠护理,观察组在对照组基础上联合给予水疗护理干预。比较2组患儿的黄疸消退时间、胆红素水平,采用婴幼儿的睡眠质量问卷对患儿的睡眠质量进行评估,包括:夜间觉醒次数,夜间睡眠时间、睡眠总时间和日间睡眠时间,同时比较2组患儿不良事件的发生情况,包括:呕吐、皮肤损伤和发热等。结果:干预后,观察组黄疸消退时间显著短于对照组,观察组总胆红素和直接胆红素水平显著低于对照组,观察组夜间觉醒次数较对照组少,夜间睡眠时间以及睡眠总时间明显比对照组长,入睡潜伏时间较对照组短,观察组不良事件发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:在新生儿黄疸患儿中应用保护性睡眠护理联合水疗可将患儿的黄疸消退时间明显缩短,血清胆红素水平降低,睡眠质量得到大幅度改善,有较高的安全性,具有临床指导意义,值得临床推广应用。
Objective:To analyze the clinical value of applying protective sleep care combined with hydrotherapy in neonatal jaundice patients.Methods:A total of 70 newborns with jaundice admitted to Zhao′an County Hospital in Zhangzhou City,Fujian Province from July 2020 to July 2022 were selected as the study subjects.They were randomly divided into an observation group(n=35)and a control group(n=35)according to a random number table.The control group received protective sleep care,while the observation group received a combination of hydrotherapy nursing interventions on the basis of the control group.Compare the time of jaundice resolution and bilirubin levels between two groups of children.Use a sleep quality questionnaire for infants to evaluate the sleep quality of the children,including the number of awakenings at night,sleep time at night,total sleep time,and daytime sleep time.At the same time,compare the occurrence of adverse events in the two groups of children,including vomiting,skin damage,and fever.Results:After intervention,the jaundice resolution time in the observation group was significantly shorter than that in the control group.The total bilirubin and direct bilirubin levels in the observation group were significantly lower than those in the control group.The number of nighttime awakenings in the observation group was lower than that in the control group,and the sleep time and total sleep time were significantly longer than those in the control group.The latency time for falling asleep was shorter than that in the control group,and the incidence of adverse events in the observation group was significantly lower than that in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:The application of protective sleep care combined with hydrotherapy in neonatal jaundice patients can significantly shorten the time for jaundice to subside,reduce serum bilirubin levels,and significantly improve sleep quality.It has high safety and clinical guidance significance,and is worthy of clinical promotion and application.
作者
黄妙华
刘柳
HUANG Miaohua;LIU Liu(Zhao′an County Hospital,Zhangzhou City,Fujian Province,Zhao′an 363500,China;Rocket Force Special Medical Center,Beijing 100088,China)
出处
《世界睡眠医学杂志》
2024年第1期124-126,130,共4页
World Journal of Sleep Medicine
关键词
保护性睡眠护理
水疗
新生儿黄疸
血清胆红素
睡眠质量
不良反应
Protective sleep care
Hydrotherapy
Neonatal jaundice
Serum bilirubin
Sleep quality
Adverse reactions
