摘要
目的探讨影响新生儿蓝光照射治疗依从性的因素,并提出具体对策。方法对2006年1-5月96例高胆红素血症新生儿行光照疗法的依从性进行研究,调查每次光疗时患儿的依从状态、患儿家长对光疗的认知程度以及护理人员的操作流程。结果患儿光疗初期依从性不佳者占83.3%,光疗后期占61.4%;45.8%(44/96)的患儿家长对光照疗法的认知情况处于一般水平,14.6%(14/96)的患儿家长认知情况不良;27.1%(26/96)的护理人员执行光照疗法的操作规范不合格。结论新生儿蓝光治疗依从性不佳与医务人员的宣教、环境准备和护理操作欠规范及部分患儿家长配合不力有关,临床护理对策应从加强心理护理、家属宣教、环境管理和规范护理操作着手。
Objective To study the factors influencing the compliance of newborns to Blue-ray irradiation, and to put forward specific countermeasures. Methods A total of 96 newborns with hyperbilirubinemia from Jan. 2006 to May 2006 were observed for their compliance during Blue-ray irradiation therapy. The compliance of patients was investigated during each irradiation. The parents understanding of irradiation and the management process of the nurses were also investigated. Results Poor compliance were found in 83.3% newborns at the initial stage and 61.4% at the late stage; there were 45.8% of parents had a poor knowledge of blue-ray irradiation therapy and 27.1% （26/96）of the nurses had a un-standard performance in the light therapy. Conclusion Poor compliance to blue-ray therapy is associated with the health education of medical staffs, environmental preparation, non-standard performance of nurses during therapy,and the unsatisfied cooperation of the parents. Measures should be taken to enhance the psychological nursing, health education for relatives, and standard performance by nurses.
出处
《解放军护理杂志》
2008年第11期23-24,78,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
蓝光照射
高胆红素血症
新生儿
依从性
blue ray irradiation
hyperbilirubinemia
newborons
compliance
