开展品管圈活动降低足月新生儿黄疸的临床实践.docVIP

开展品管圈活动降低足月新生儿黄疸的临床实践 湖南省邵阳市邵阳医学高等专科学校附属医院产科422000 摘 要 目的通过品管圈活动，得出降低新生儿黄疸的最佳护理干 预措施。方法成立品管圈小组，制定新生儿黄疸护理干预方案和评价标准，将 145例正常足月剖宫产新生儿随机分成直接消化道干预组、间接消化道干预组、 综合护理干预组。品管圈实施前采用的是直接消化道干预措施和间接消化道干预 措施，品管圈实施后采用的是综合护理干预措施，3组新牛儿住院期间及出院28 天进行产后访视时使用新牛儿经皮黄胆仪检测新牛儿经皮胆红素值，并记录3 组新牛儿胎便转黄时间、开始退黄时间、完全退黄时间及高胆红素血症发病情况, 比较得出3组护理干预措施降低新牛儿黄疸的效果。结果品管圈实施后，综合 干预组在出牛后站5天黄疸指数较品管圈实施前两组低(P0.01)；胎便转黄时 间较品管圈实施前两组提前(P0.01),黄疸开始消退与完全消退时间均较品管 圈实施前两组缩短(P0.01)；高胆?红素血症的发病率也较品管圈实施前两组降 低(Plt;0.01)o结论实行品管圈活动，能有效地发现影响新生儿黄疸的因素， 并采取一系列护理干预措施，得出最佳护理干预方案，有效降低新牛儿血清胆红 素的水平，从而减少高胆红素血症的发生率。 关键词 品管圈；足月新生儿；黄疸；肠肝循环；护理干预 Clinical practice of reducing the jaundice of term newborns with the activities of the quality control circle. Luo Haijuan Shaoyang City, Hunan Provinee, city, the Affiliated Hospital of Obstetrics, 422000 ABSTRACT Objective to get the best nursing intervention measures to reduce the jaundice of newborn through the activity of the product.Methods the establishment of the product management circle group, the development of neonatal jaundice care intervention program and evaluation criteria, 145 cases of normal term cesarean section were randomly divided into direct gastrointestinal in terventi on group, the in direct digestive tract in terve ntion group, the comprehensive nursing intervention group.Quality control circle before the implementation of the. direct gastroi ntesti nal in terve ntions and in direct gastroi ntesti nal intervention measures, quality control circle after the implementation of the comprehensive nursing intervention measures, neonates in the three groups during hospitalization and discharge 28 days postpartum visit using neonatal pihuang bile in strument for the detection of neon atal transcutaneous bilirubi n values, and recorded three groups of newborn has turned yellow time, began to retreat yellow time, completely withdraw the Yellow time and hyperbilirubinemia incidence. and the conclusion is drawn that 3 group nursing intervention measures to reduce the effect of neonatal jau