摘要
目的探讨基于知信行理论的家属参与式护理结合腹部环形按摩对新生儿黄疸病情控制及家属黄疸应对能力的影响。方法选取2020年4月至2022年4月收治的89例新生儿黄疸患儿为研究对象,按照随机数字表法将其分为对照组(44例)和观察组(45例)。对照组采用常规护理干预,观察组在对照组基础上加基于知信行理论的家属参与式护理结合腹部环形按摩干预。比较两组的干预效果。结果观察组的每日排便次数、每日摄奶量多于对照组,胎便初排时间、胎便转黄时间及黄疸消退时间短于对照组(P<0.05)。干预后,观察组的黄疸知识、黄疸应对技巧及综合应对能力评分均高于对照组(P<0.05)。干预后,观察组的间接胆红素(IBIL)、总胆红素(TBIL)及直接胆红素(DBIL)水平均低于对照组(P<0.05)。观察组家属的护理满意度高于对照组(P<0.05)。结论基于知信行理论的家属参与式护理结合腹部环形按摩不仅能够加强新生儿黄疸病情控制情况,提高家属黄疸应对能力,进一步改善肝功能恢复,还能提高家属满意度,值得推广。
Objective To explore the effects of family participatory nursing based on knowledge-attitude-practice theory combined with abdominal circular massage on the control of neonatal jaundice and the ability of family members to cope with jaundice.Methods A total of 89 children with neonatal jaundice admitted from April 2020 to April 2022 were selected as the research objects,and the children were divided into control group(44 cases)and observation group(45 cases)according to random number table method.The control group was given routine nursing intervention,and the observation group was given family participatory nursing based on knowledge-attitude-practice theory combined with abdominal circular massage intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The number of daily defecation and daily milk intake in the observation group were more than those in the control group,and the time of first defecation,the time of yellowing of meconium and the time of jaundice regression were shorter than those in the control group(P<0.05).After intervention,the scores of jaundice knowledge,jaundice coping skills and comprehensive coping ability in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of indirect bilirubin(IBIL),total bilirubin(TBIL)and direct bilirubin(DBIL)in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction of family members of the observation group was higher than that of the control group(P<0.05).Conclusion Family participatory nursing based on knowledge-attitude-practice theory combined with abdominal circular massage can not only strengthen the control of neonatal jaundice,improve the ability of family members to cope with jaundice,further elevate the recovery of liver function,but also improve the satisfaction of family members,which is worth promoting.
作者
王腊腊
王艳
WANG Lala;WANG Yan(Outpatient Department,Shenmu Hospital,Shenmu 719300,China;Orthopedics Department,Shenmu Hospital,Shenmu 719300,China)
出处
《临床医学研究与实践》
2024年第17期186-190,共5页
Clinical Research and Practice
关键词
知信行理论
家属参与式护理
腹部环形按摩
新生儿黄疸
病情控制
家属黄疸应对能力
knowledge-attitude-practice theory
family participatory nursing
abdominal circular massage
neonatal jaundice
disease control
the ability of family members to cope with jaundice
