目标管理理论的护理模式在新生儿高胆红素血症患儿中的应用

doi:10.3760/cma.j.issn.1007-1245.2024.04.005

摘要/Abstract

摘要：

目的　探讨目标管理理论的护理模式在新生儿高胆红素血症患儿中的应用效果。方法　选取2021年1月至2023年1月郑州大学附属儿童医院94例新生儿高胆红素血症患儿，按入院顺序分为目标管理组（47例）、常规组（47例）。常规组男25例，女22例，胎龄36～42（39.03±1.07）周。目标管理组男21例，女26例，胎龄36～42（38.94±1.12）周。常规组实施常规护理，目标管理组在常规组基础上实施目标管理理论的护理模式，两组均干预至患儿病情恢复。比较两组干预前后血清胆红素水平、睡眠时间［简明婴儿睡眠问卷（Brief Infant Sleep Questionnaire，BISQ）］及黄疸消退时间、不适症状、家属满意度［纽卡斯尔护理满意度量表（Newcastle Satisfaction with Nursing Scale，NSNS）］。采用t检验、χ²检验。结果　干预后目标管理组血清胆红素水平（157.49±15.82）μmol/L低于常规组（204.83±15.29）μmol/L（P<0.05）。目标管理组黄疸消退时间较常规组短［（6.36±1.27）d比（7.13±1.06）d］，差异有统计学意义（t=3.191，P=0.002）。干预后目标管理组白天睡眠时间、夜间睡眠时间［（8.32±1.39）h、（8.55±1.29）h］均较常规组［（7.30±1.41）h、（7.62±1.34）h］长（均P<0.05）。目标管理组不适症状总发生率［8.51%（4/47）］与常规组［21.28%（10/47）］比较，差异无统计学意义（P>0.05）。目标管理组家属满意度［95.74%（45/47）］高于常规组［68.09%（32/47）］（P<0.05）。结论　将目标管理理论的护理模式应用于新生儿高胆红素血症患儿中，能降低血清胆红素水平、缩短黄疸消退时间、延长睡眠时间、提高家属满意度。

关键词:

新生儿高胆红素血症, 目标管理理论, 护理, 睡眠时间, 不适症状

Abstract:

Objective　To explore the application of nursing model based on management by objectives theory in neonates with hyperbilirubinemia. Methods　From January 2021 to January 2023, 94 neonates with hyperbilirubinemia in Children's Hospital Affiliated to Zhengzhou University were selected and were divided into a management group (47 cases) and a routine group (47 cases) according to the order of admission. There were 25 boys and 22 girls in the routine group, with a gestational age of 36-42 (39.03±1.07) weeks. In the management group, there were 21 boys and 26 girls, with a gestational age of 36-42 (38.94±1.12) weeks. Routine nursing was carried out in the routine group, while nursing model based on management by objectives theory was carried out in the management group on the basis of the routine group. Both groups were intervened until the recovery of the children's condition. The serum bilirubin levels and sleep time [Brief Infant Sleep Questionnaire (BISQ)] before and after intervention, jaundice resolution time, discomfort symptoms, and family satisfaction [Newcastle Satisfaction with Nursing Scale (NSNS)] were compared between the two groups. t test and χ² test were used. Results　After intervention, the level of serum bilirubin in the management group was lower than that in routine group [(157.49±15.82) μmol/L vs. (204.83±15.29) μmol/L] (P<0.05). The time of jaundice resolution in the management group was shorter than that in the routine group [(6.36±1.27) d vs. (7.13±1.06) d], with a statistically significant difference (t=3.191, P=0.002). After intervention, the daytime sleep time and nighttime sleep time [(8.32±1.39) h and (8.55±1.29) h] in the management group were longer than those in the routine group [(7.30±1.41) h and (7.62±1.34) h] (both P<0.05). There was no statistically significant difference in the total incidence of discomfort symptoms between the management group [8.51% (4/47)] and the routine group [21.28% (10/47)] (P>0.05). The family satisfaction in the management group [95.74% (45/47)] was higher than that in the routine group [68.09% (32/47)] (P<0.05). Conclusion　Applying the nursing model based on management by objectives theory to neonates with hyperbilirubinemia can reduce the level of serum bilirubin, shorten the regression time of jaundice, prolong the sleep time, and improve the satisfaction of family members.

Key words:

Neonatal hyperbilirubinemia, Management by objectives theory, Nursing, Sleep time, Discomfort symptoms

冯福云曹静石兰兰.

目标管理理论的护理模式在新生儿高胆红素血症患儿中的应用 [J]. 国际医药卫生导报, 2024, 30(4): 549-552.

Feng Fuyun, Cao Jing, Shi Lanlan.

Application of nursing model based on management by objectives theory in neonates with hyperbilirubinemia [J]. International Medicine and Health Guidance News, 2024, 30(4): 549-552.

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