新生儿蓝光照射治疗依从性不佳的原因分析及对策.pdfVIP

解放军 理杂志 JUNE 2008 , 25(6A) NUTS J C^in PLA ·23 · 新生儿蓝光照射治疗依从性不佳的原因分析及对策 黄 漫，曾国琼 (深圳市龙岗区妇幼保健院新生儿科，广东深圳 518172) 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，l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。 关键词：蓝光照射；高胆红素血症；新生儿；依从性 中图分类号：R473．72；R454．2 文献标志码：A 文章编号：1008—9993(2008)6A一0023—03 Analysis of Causes for Poor Compliance to Blue-ray Irradiation Therapy in Newborns and Its Countermeasures HUANG Man。ZENG GUO—qiong(Department of Newborns。Maternal and Child Health Centre of Longgang District，Shenzhen 5 1 8 1 7 2，Guangdong Province，China) Abstract：Objective To study the factors influencing the compliance of newborns to Blue—ray irra— diation，and to put forward specific countermeasures．Methods A total of 96 newborns with hy— perbilirubinemia from Jan．2006 to May 2006 were observed for their compliance during Blue-ray irradia— tion therapy．The compliance of patients was investigated during each irradiation．The parents under— standing 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 prepara— tion，non-standard performance of nurses during th