新生儿接受音乐配合先俯后仰位抚触护理的效果观察

牛春英　卢秋红

【摘 要】 目的：探究新生兒接受音乐配合先俯后仰位抚触护理的临床效果。方法：择取2018年3月至2019年5月在本院出生的新生儿共100例，随机分成对照组与观察组，每组50例。对照组实施先俯后仰位抚触护理，观察组在抚触护理基础上实施音乐配合护理，比较两组护理前后经皮黄疸指数、首次排便时间和胎便转黄时间，比较两组高胆红素血症发生率及护理后1、3、5d新生儿哭闹发生率。结果：两组护理前经皮黄疸指数比较，差异无统计学意义（P>0.05），护理后观察组新生儿经皮黄疸指数低于对照组，首次排便时间和胎便转黄时间少于对照组，差异有统计学意义（P<0.05）;观察组高胆红素血症发生率及护理后1d新生儿哭闹率低于对照组，差异有统计学意义（P<0.05），护理3～5d两组哭闹发生率差异无统计学意义（P>0.05）。结论：音乐配合先俯后仰位抚触护理的开展有利于改善新生儿的黄疸指数，减少其哭闹以及高胆红素血症发生率，对新生儿健康成长和正常发育具有积极影响，因此该种护理模式值得在临床中进行推广。

【关键词】 新生儿;音乐配合;先俯后仰位抚触护理;黄疸指数;高胆红素血症

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.