改良鸟巢式护理干预在新生儿黄疸患儿中的应用效果

目的　探讨新生儿黄疸患儿采用改良鸟巢式护理的效果。方法　采用前瞻性研究，选取2020年1月至2021年12月在郑州大学附属儿童医院接受蓝光治疗的新生儿黄疸患儿80例，采用随机数字表法分为2组，各40例。观察组：男21例，女19例；胎龄30～41周；采用改良鸟巢式护理干预。对照组：男23例，女17例；胎龄31～41周；采用常规鸟巢式护理干预。统计两组患儿的基线资料，记录两组相关指标（日睡眠时间、日哭闹时间、住院时间、体温波动），比较两组护理前、护理1 d、护理3 d及护理5 d时的胆红素［间接胆红素（IBIL）及总胆红素（TBIL）］水平，统计两组患儿不良反应情况，并评估两组家属对护理的满意度。统计学方法采用t检验、χ²检验。结果　观察组体温波动比对照组小［（0.35±0.10）℃比（0.83±0.12）℃］，日哭闹时间和住院时间［（45.37±4.09）min、（4.83±0.82）d］均比对照组［（56.73±5.82）min、（6.08±0.78）d］短，日睡眠时间比对照组长［（21.12±0.79）h比（17.26±2.93）h］，差异均有统计学意义（t=19.435、10.100、6.986、8.045，均P<0.001）；护理1 d、3 d、5 d时，两组血清IBIL、TBIL水平均依次较护理前降低，且观察组比对照组低（均P<0.05）；观察组患儿不良反应发生率比对照组低［5.00%（2/40）比20.00%（8/40）］，差异有统计学意义（χ²=4.114，P=0.043）；观察组家属护理满意度高于对照组［95.00%（38/40）比77.50%（31/40）］，差异有统计学意义（χ²=5.165，P=0.023）。结论　新生儿黄疸患儿采用改良鸟巢式护理干预可改善睡眠质量，减少哭闹时间及并发症，调节患儿的胆红素水平，将患儿家属的护理满意度提高。

Effect of modified bird's nest nursing intervention for infants withneonatal jaundice

Objective　To explore the effect of modified bird's nest nursing for infants withneonatal jaundice. Methods　In the prospectivestudy, 80 infants with neonatal jaundice who received blue light treatment inthe Children's Hospital of Zhengzhou University from January 2020 to December2021 were selected, and were divided into an observation group and a controlgroup by the random number table method, with 40 cases in each group. Theobservation group, 21 males and 19 females with a gestational age of 30-41weeks, received the modified bird's nest nursing intervention, while thecontrol group, 23 males and 17 females with a gestational age of 31-41 weeks,received the conventional bird's nest nursing intervention. The baseline dataof the two groups were counted; the relevant indicators (daily sleep time,daily crying time, hospitalization time, and body temperature fluctuation) ofthe two groups were recorded; the levels of bilirubin [indirect bilirubin(IBIL) and total bilirubin (TBIL)] before nursing and after 1 day's, 3 days',and 5 days' nursing of the two groups were compared; the adverse reactions ofthe two groups were counted; the satisfactions of the family members of the twogroups with nursing were evaluated. t and χ² tests were applied. Results　The fluctuation of body temperature in theobservation group was smaller than that in the control group [(0.35±0.10) ℃ vs.(0.83±0.12) ℃], the daily crying time and hospitalization time in theobservation group [(45.37±4.09) min and (4.83±0.82) d] were shorter than those inthe control group [(56.73±5.82) min and (6.08±0.78) d], and the daily sleeptime in the observation group [(21.12±0.79) h] was longer than that in thecontrol group [(17.26±2.93) h], with statistical differences (t=19.435, 10.100, 6.986, and 8.045; all P<0.001). On day 1, 3, and 5 ofnursing, the serum levels of IBIL and TBIL in the two groups were successivelylower than those before nursing, and were lower in the observation group thanin the control group (all P<0.05).The incidence of adverse reactions in the observation group was lower than thatin the control group [5.00% (2/40) vs. 20.00% (8/40)], with a statisticaldifference (χ²=4.114, P=0.043). The nursing satisfaction ofthe family members in the observation group was higher than that in the controlgroup [95.00% (38/40) vs. 77.50% (31/40)], with a statistical difference (χ²=5.165, P=0.023). Conclusion　The modified bird's nest nursing intervention for infants with neonataljaundice can improve their sleep quality, reduce the crying time and complications,adjust their bilirubin level, and improve the nursing satisfaction of thechildren's family members.