标题：新生儿黄疸蓝光照射治疗期间的前馈控制护理小组模式的建立及应用

      作者：周敏，安瑞，蒲庆    汉中市人民医院新生儿科，陕西 汉中 723000

      卷次： 2023年34卷20期

      【摘要】 目的 研究新生儿黄疸蓝光照射治疗期间的前馈控制护理小组模式的建立及应用效果。方法 选择2019年5月至2021年4月在汉中市人民医院新生儿科进行蓝光照射的200例黄疸新生儿作为研究对象，按照随机数表法分为观察组和对照组各100例。对照组新生儿实施常规护理，观察组则建立前馈控制护理小组模式，并运用于患儿护理中。护理3 d后，比较两组新生儿的黄疸指数、胆红素(TBIL)水平、熟睡时间、哭闹频率、体质量增加值和护理效果，新生儿出院前统计两组新生儿不良事件发生率和家长对护理的满意度。结果 护理后，两组新生儿的黄疸指数及TBIL水平均明显降低，且观察组新生儿的黄疸指数及TBIL水平分别为3.46±1.12、(192.55±13.42) μmol/L，明显低于对照组的5.62±1.23、(206.24±14.15) μmol/L，差异均有统计学意义(P<0.05)；护理后，观察组新生儿的熟睡时间和体质量增加值分别为(17.48±2.35) h和(27.86±3.65) g，明显高于对照组的(13.95±2.16) h和(22.55±3.04) g，新生儿的哭闹频率为(3.08±0.66)次，明显低于对照组的(5.45±0.58)次，差异均具有统计学意义(P<0.05)；观察组新生儿的临床总有效率和家长护理满意度分别为98.00%、99.00%，明显高于对照组的86.00%、85.00%，差异均有统计学意义(P<0.05)；观察组新生儿的不良事件发生率为2.00%，明显低于对照组的15.00%，差异具有统计学意义(P<0.05)。结论 前馈控制护理小组模式能明显改善新生儿黄疸蓝光照射治疗期间的护理效果，降低不良事件发生率，提升家长对护理满意度，值得临床推广应用。
      【关键词】 新生儿黄疸；蓝光照射；前馈控制；护理；满意度；不良事件
      【中图分类号】 R473.72 【文献标识码】 A 【文章编号】 1003—6350（2023）20—3020—05

Establishment and application of feedforward control nursing group model during the treatment of neonataljaundice with blue light irradiation.
ZHOU Min, AN Rui, PU Qing. Department of Neonatology, Hanzhong People'sHospital, Hanzhong 723000, Shaanxi, CHINA
【Abstract】 Objective To study the establishment and application effect of feedforward control nursing groupmodel during the treatment of neonatal jaundice with blue light irradiation. Methods A total of 200 neonates with jaun-dice undergoing blue light irradiation in the Department of Neonatology, Hanzhong People's Hospital from May 2019 toApril 2021 were selected as the study objects. They were divided into an observation group and a control group accord-ing to the random number table, with 100 neonates in each group. The neonates in the control group were given routinenursing care, while the neonates in the observation group were given feedforward control nursing group mode. After 3days of nursing, the jaundice index, bilirubin (TBIL) level, sleeping time, crying frequency, body mass increase, andnursing effect of the two groups of newborns were compared. The incidence of adverse events and parents' satisfactionwith nursing were counted before discharge. Results After nursing, the jaundice index and TBIL levels of two groupswere significantly reduced, and the jaundice index and TBIL levels of newborns in the observation group were 3.46±1.12and (192.55±13.42) μmol/L, which were significantly lower than 5.62±1.23 and (206.24±14.15) μmol/L in the controlgroup (P<0.05). After nursing, the sleeping time and body mass increase of newborns in the observation group were(17.48±2.35) h and (27.86±3.65) g, which were significantly higher than (13.95±2.16) h and (22.55±3.04) g in the controlgroup (P<0.05), while the crying frequency was (3.08±0.66) times, significantly lower than (5.45±0.58) times in the con-trol group (P<0.05). The total clinical effective rate and parents' satisfaction with nursing in the observation group were98.00% and 99.00%, which were significantly higher than 86.00% and 85.00% in the control group (P<0.05). The inci-dence of adverse events in the observation group was 2.00%, which was significantly lower than 15.00% in the controlgroup (P<0.05). Conclusion The feedforward control nursing group model can significantly improve the nursing effectduring the treatment of neonatal jaundice with blue light irradiation, reduce the incidence of adverse events, and enhancethe satisfaction of parents with nursing, which is worthy of clinical promotion and application.
      【Key words】 Neonatal jaundice; Blue light irradiation; Feedforward control; Nursing; Satisfaction; Adverseevents