牛春英　盧秋紅

【摘 要】 目的：探究新生兒接受音樂配合先俯后仰位撫觸護(hù)理的臨床效果。方法：擇取2018年3月至2019年5月在本院出生的新生兒共100例，隨機(jī)分成對(duì)照組與觀察組，每組50例。對(duì)照組實(shí)施先俯后仰位撫觸護(hù)理，觀察組在撫觸護(hù)理基礎(chǔ)上實(shí)施音樂配合護(hù)理，比較兩組護(hù)理前后經(jīng)皮黃疸指數(shù)、首次排便時(shí)間和胎便轉(zhuǎn)黃時(shí)間，比較兩組高膽紅素血癥發(fā)生率及護(hù)理后1、3、5d新生兒哭鬧發(fā)生率。結(jié)果：兩組護(hù)理前經(jīng)皮黃疸指數(shù)比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05），護(hù)理后觀察組新生兒經(jīng)皮黃疸指數(shù)低于對(duì)照組，首次排便時(shí)間和胎便轉(zhuǎn)黃時(shí)間少于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;觀察組高膽紅素血癥發(fā)生率及護(hù)理后1d新生兒哭鬧率低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05），護(hù)理3～5d兩組哭鬧發(fā)生率差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論：音樂配合先俯后仰位撫觸護(hù)理的開展有利于改善新生兒的黃疸指數(shù)，減少其哭鬧以及高膽紅素血癥發(fā)生率，對(duì)新生兒健康成長(zhǎng)和正常發(fā)育具有積極影響，因此該種護(hù)理模式值得在臨床中進(jìn)行推廣。

【關(guān)鍵詞】 新生兒;音樂配合;先俯后仰位撫觸護(hù)理;黃疸指數(shù);高膽紅素血癥

Observation on the effect of the nursing care of the newborn with music and the touch of the position of first pitching and then pitching

Niu Chunying1，Lu Qiuhong2

1.Newborn， Dongming County People's Hospital of Shandong Province， Heze， Shandong 274500;

2.Inner Department， Dongming County Chinese Medicine Hospital of Shandong Province， Heze， Shandong 274500

[Abstract] Objective：To explore the clinical effect of the nursing care of the newborn with the help of music. Methods： A total of 100 newborns born in our hospital from March 2018 to may 2019 were selected and randomly divided into control group and observation group with 50 cases in each group. The patients in the observation group were given music nursing on the basis of touch nursing. The indexes of transcutaneous jaundice， the time of first defecation and the time of turning yellow of fetal stool were compared before and after nursing. The incidence of hyperbilirubinemia and the incidence of crying of newborns in the first， third and fifth days after nursing were compared between the two groups. Results： There was no significant difference between the two groups before nursing （P>0.05）. After nursing， the index of neonatal transcutaneous jaundice in the observation group was lower than that in the control group， the first defecation time and the time of turning fetal stool yellow were shorter than that in the control group， the difference was statistically significant （P<0.05）; the incidence of hyperbilirubinemia in the observation group and the crying rate of newborn one day after nursing were lower than that in the control group， the difference was statistically significant There was no significant difference in the incidence of crying between the two groups （P>0.05）. Conclusion： The development of music combined with the nursing care of first pitching and then supine position is beneficial to improve the jaundice index of the newborn， reduce the incidence of crying and hyperbilirubinemia， and have a positive impact on the healthy growth and normal development of the newborn. Therefore， this nursing mode is worth promoting in clinical practice.