Analysis and research on the application of the comprehensive nursing intervention in 180 cases of jaundice in premature children

Abstract

Objective To explore the clinical effect of the comprehensive nursing intervention on premature children with jaundice. Methods 180 cases of premature children which were suffered from jaundice during 2009.12- 2011.12 were selected as subjects and were randomly divided into control and observation groups. Children in the control group(n= 90) were given conventional treatment and care, and in the observation group(n= 90) were given comprehensive nursing intervention with abdominal massage and enema on the basis of conventional treatment and care. Jaundice occurrence, duration and regression time, 1 d, 3 d, 5 d serum bilirubin values and bowel movement, defecation time and shape were compared between the two groups. Results The emergence time of jaundice was(2.2±0.9) d in control group, which was significantly less than that of observation group(4.4±1.6)d. The duration and regression of jaundice of control group were significantly longer than those of the observation group. The 1 d, 3 d, 5 d serum bilirubin values(unit:μmol/ L) of control group were respectively(49.9±15.5),(122.6±28.9)and(199.9±37.7), and 1 d, 3 d, 5 d serum bilirubin values(unit:μmol/ L) of the observation group were respectively(51.1±16.7),(86.8±19.8)and(121.1±22.5). There were no significant difference between the two groups in 1 d serum bilirubin(P> 0.05), there was significant difference in 3 d and 5 d serum bilirubin between two groups(P< 0.01). There were significant differences in the first meconium exclude, the first defecation turn yellow time and the daily number of bowel movements between two groups(P<0.05, P<0.01). Conclusions The comprehensive nursing intervention in preterm children has good clinical effect, which should be promoted and widely used. Key words: Comprehensive nursing intervention; Preterm children; Jaundice; Clinical effects