以家庭為中心的日間光療病房在新生兒高膽紅素血癥中的應(yīng)用效果

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關(guān)鍵詞：高膽紅素血癥；以家庭為中心；日間光療；治療效果

中圖分類號：R473.72文獻標志碼：A 文章編號：1001-5779（2025）05-0466-05

DOI：10.3969/j.issn.1001-5779.2025.05.010

Abstract：Objective：Toexploretheclinical intervention efectofthefamily-centereddaytimephototherapywardmodel on neonates with hyperbilirubinemia.Methods：Atotalof 12O neonates with jaundiceadmitted toour hospitalfrom June 2023 to October 2O24 were selectedas theresearch subjects.Theywere divided into theconventionalcarecontrolgroup （60cases）and thefamily-participatory daytime phototherapyobservation group（6O cases）based on the informed choice oftheir families.Thecontrolgroup wasadmitedtotheconventional neonatal ward，whiletheobservationgroup was admitedtothefamily-centereddaytimephototherapywardforbluelightirradiationtreatmentandcorrespondingcare.The serumbilirubinlevels，transcutaneous jaundiceregression timeand bilirubinnormalizationtime，feeding statusandsleep qualityof the twogroups3daysafter thetreatment were compared，aswell as the psychological stateand treatment satisfactionof themothersof thetwogroupsofneonates.Results：Theserum bilirubin level，thetimeof percutaneous jaundiceresolutionandthetimeofbilirubinrecoveryafter3daysofblue light iradiationinthetwo groups were with no statistical significance （ P>0.05 ）.However，the feeding status and sleep quality of the two groups were beter in the experimental group than those in the control group，with statistical significance （ P<0.001 ）.Comparing the psychological state of the neonate's mother，the scores of anxiety （SAS）and depresion （SDS）scales in the observation group were significantly lower than those in the control group （ P<0.001 ），with statistical significance.The satisfaction of the ob - servationgroup was significantly higherthanthatof thecontrolgroup，withstatistical significance（P=O.OO2）.Conclusion：The family-centered daytimephototherapyward modeof blue lightirradiationof neonatal hyperbilirubinemia showedthattheserumbilirubinlevel，thetimeofpercutaneousjaundiceresolutionandthetimeofbilirubinreturntonormalwerealmost thesameas thoseof hospitalizedchildren，butthefedingstatusandsleepqualitywerebeterthanthose of hospitalized children，which enhanced maternaland infantaffection，allviated maternalanxietyanddepression， and improved satisfaction of patients'families with the treatment. It is worth promoting.

Key words：Hyperbilirubinemia；Family-centered；Daytime phototherapy；Therapeutic effect

新生兒高膽紅素血癥是新生兒期常見的代謝性疾病，在全球范圍內(nèi)約 70% 的新生兒在出生早期會出現(xiàn)黃疸[]。（剩余4932字）