临床护理路径对湿热型新生儿病理性黄疸的效果分析

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1、临床护理路径对湿热型新生儿病理性黄疽的效果分析林兰芬1路梅2赵欣2马同英1【摘要】目的探讨临床护理路径对湿热型新生儿病理性黄疽的效果。方法选取2012年1月〜2014年12月湿热型病理性黄疸新生儿90例，随机分为观察组与对照组，每组各有患儿45例。对照组采用常规护理，观察组采用临床护理路径实施护理，比较两组患儿护理效果及黄疽持续时间、黄疽消退时间、住院时间及家长对护理服务的满意情况。结果观察组患儿护理总有效率为95.6%,对照组患儿护理总有效率为73.3%，两组比较差异有统计学意义（P<0.01）;观察组患儿黄疽持续时间、消退时间以及住院时间明显比对

2、照组短（P<0.01）；观察组患儿家长对护理服务总满意率明显高于对照组（P<0.01）。结论临床护理路径应用于湿热型病理性黄疽护理中效果显著，可有效缩短患儿黄疽持续、消退以及住院时间，明显提升患儿家长对护理服务的满意率，值得临床推广使用。【关键词】临床护理路径；湿热型；新生儿；病理性黄疽Analysisoftheeffectofclinicalnursingpathwayonthepathologicaljaundiceofdampheattypenewborninfants[Abstract]ObjectiveToexploretheeffecto

3、fclinicalnursingpathwayonthepathologicaljaundiceofdampheattypeofnewborninfants.Methods90casesofpathologicaljaundiceofdampheattypeofnewborninfantswereselectedanddividedintoobservationgroupandcontrolgroupfromJanuary2012toDecember2014,45caseswereineachgroup.Thecontrolgroupreceived

4、routinenursingcare,theobservationgroupadopttheclinicalnursingpathnursing,comparedtwogroupsofnewborninfantswithnursingeffectandjaundicecontinued,thejaundicesubsidedtime,hospitalizationtimeandparentsofnursingservicesatisfaction.Resultsobservationgroupofnursingcareforthenewborninf

5、antswiththetotaleffectiveratewas95.6%,controlgroupofnursingcareforthechildrenwiththetotalefficiencywas73.3%,thedifferencebetweenthetwogroupshasstatisticalsignificance(P<0.01);observationgroupwithjaundicecontinued,regressiontimeandhospitalizationtimewashigherthanthatofthecont

6、rolgroup(P<0.01);Thetotalsatisfactionrateoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup(P<0.01).Conclusiontheapplicationofclinicalnursingpathwayinthedampheattypepathologicaljaundicecareeffectisremarkable,caneffectivelyshortenthejaundicecontinued,exti

7、nctionandhospitalizationtimeandsignificantlyimproveparentsofnursingservicesatisfactionrate.ltisworthyofclinicaluse.【Keywords】Clinicalnursingpathway;Dampheattype;newborninfants;pathologicaljaundice.新生儿病理性黄疽在临床上也将其称为新生儿高胆红素血症，多由胆红素在机体内累积过多所致［1］。临床上主要采取药物或蓝光照射法治疗，而治疗期间采用不同的护理方式其治疗

8、效果不尽相同。临床护理路径管理是一种具奋针对性的综合护理管理模式，对促进患儿治疗效果有着积极的作用［1】。为