早期抚触护理在新生儿生理性黄疸治疗中的效果观察

王玲丽

（陕西省汉中市人民医院，陕西 汉中，723000）

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摘要：

目的 探讨早期抚触护理在新生儿生理性黄疸治疗中的临床效果。方法 选取2014年6月至2016年6月于我院接受治疗的80例新生儿生理性黄疸新生儿，按照护理方法的不同将其分为对照组和观察组，各40例。对照组新生儿进行常规护理， 观察组新生儿在常规护理的基础上给予早期抚触护理，比较两组新生儿的护理效果。结果 观察组新生儿护理总有效率为95.00%，明显高于对照组的75.00%（P<0.05）。观察组新生儿家属满意度为95.00%，明显高于对照组的77.50%（P<0.05）。 观察组新生儿的首次排便时间、黄疸消失时间、高胆红素血症发生率及黄疸异常率明显优于对照组新生儿（P<0.05）。观察组新生儿的血清胆红素值和经皮胆红素明显优于对照组（P<0.05）。结论 早期抚触护理可提高新生儿的护理疗效，提升新生儿家属满意度，缩短新生儿首次排便时间和黄疸消失时间，降低新生儿的高胆红素血症的发生率和黄疸异常率，并改善新生儿的血清胆红素指标和经皮胆红素指标。

关键词：早期抚触护理；新生儿生理性黄疸；胆红素

中图分类号：R473.72 文献标志码：A文章编号：2096-1413(2017)14-0157-02

Effect observation of early touch nursing on newborn with physiological jaundice
WANG Ling-li
(Hanzhong People`s Hospital, Hanzhong 723000, China)

ABSTRACT: Objective To explore the effect of early touch nursing on n ewborn with physiological jaundice. Methods Eighty cases of newborns with neonatal physiological jaundice admitted in our hospital from June 2014 to June 2016 were selected as the study objects. All the newborns were divided into control group and observation group according to different nursing methods, with 40 cases in each group. The control group was given routine nursing, and the observation group was given early touch nursing on the basis of the routine nursing. The nursing effects of the two groups were compared. Results The total nursing effective rate of the observation group was 95.00%, which was higher than 75.00% of the control group (P<0.05). The neonatal family satisfaction rate of the observation group was 95.00%, which was higher than 77.50% of the control group (P<0.05). The first time defecation time, jaundice disappearing time, the incidence rate of high blood bilirubin and jaundice abnormal rate of the observation group were better than those of the control group (P<0.05). The levels of serum bilirubin and percutaneous bilirubin of the observation group were better than those of the control group (P<0.05).
Conclusion Early touch nursing on newborn physiologic jaundice can improve the newborn`s nursing curative effect, ascend neonatal family satisfaction rate, shorten the first defecation time and jaundice disappearing time, reduce the incidence rate of high blood bilirubin and jaundice abnormality, improve the newborn`s serum bilirubin and transcutaneous bilirubin.
KEYWORDS: the early touch nursing; neonatal physiological jaundice; bilirubin

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