[1]蔡东霖,韦柳梅,陈 兴,等.基于信息化短距离沟通的延伸护理模式对黄疸新生儿再住院率及行为状态评分的影响[J].医学信息,2026,39(10):169-172,177.[doi:10.3969/j.issn.1006-1959.2026.10.032]
　CAI Donglin,WEI Liumei,CHEN Xing,et al.Effects of Extended Nursing Mode Based on Information Short-distance Communicationon Readmission Rate and Behavioral State Score in Neonates with Jaundice[J].Journal of Medical Information,2026,39(10):169-172,177.[doi:10.3969/j.issn.1006-1959.2026.10.032]
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基于信息化短距离沟通的延伸护理模式对黄疸新生儿再住院率及行为状态评分的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
169-172,177
栏目:
照护实践信息
出版日期:
2026-05-15

文章信息/Info

Title:
Effects of Extended Nursing Mode Based on Information Short-distance Communicationon Readmission Rate and Behavioral State Score in Neonates with Jaundice
文章编号:
1006-1959（2026）10-0169-05
作者:
蔡东霖; 韦柳梅; 陈 兴; 黄姿宇
广西壮族自治区妇幼保健院儿童急诊科，广西 南宁 530000
Author(s):
CAI Donglin;  WEI Liumei;  CHEN Xing;  HUANG Ziyu
Pediatric Emergency Department, Guangxi Autonomous Region Maternal and Child Health Hospital,Nanning 530000, Guangxi, China
关键词:
信息化短距离沟通; 延伸护理模式; 黄疸; 新生儿; 再住院率; 行为状态
Keywords:
Information short-distance communication;  Extended nursing model;  Jaundice;  Neonate;  Readmission rate;  Behavioral state score
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2026.10.032
文献标志码:
A
摘要:
目的 探讨基于信息化短距离沟通的延伸护理模式在黄疸新生儿中的应用效果，分析其对新生儿再住院率、行为状态评分、临床相关指标及黄疸指标的影响。方法 选取2023年1月-2025年1月广西壮族自治区妇幼保健院出院后到急诊就诊的黄疸新生儿200例作为研究对象，按照随机数字表法分为对照组和研究组，每组100例。对照组实施常规护理延伸干预，研究组应用基于信息化短距离沟通的延伸护理模式。比较两组新生儿再住院率、行为状态评分（行为能力、主动肌张力、被动肌张力、原始反射、一般状态）、临床相关指标（首次排便时间、黄疸消退时间、胎便转黄时间、平均每日睡眠时间）及黄疸指标[总胆红素（TBIL）、直接胆红素（DBIL）、间接胆红素（IBIL）、黄疸指数]。结果 研究组新生儿再住院率为2.00%，低于对照组的15.00%（P＜0.05）。护理后研究组行为能力、主动肌张力、被动肌张力、原始反射、一般状态评分及NBNA总分均高于对照组（P＜0.05）。研究组首次排便时间、黄疸消退时间、胎便转黄时间均短于对照组，平均每日睡眠时间长于对照组（P＜0.05）。护理后研究组TBIL、DBIL、IBIL及黄疸指数均低于对照组（P＜0.05）。结论 基于信息化短距离沟通的延伸护理模式可有效降低黄疸新生儿再住院率，改善新生儿行为状态，优化临床相关指标，促进黄疸消退，具有较高的临床应用价值，值得推广。
Abstract:
Objective To explore the application effect of extended nursing mode based on information short-distance communication in neonates with jaundice, and to analyze its impact on neonatal readmission rate, behavioral state score, clinical related indicators, and jaundice indicators. Methods A total of 200 neonates with jaundice who visited the emergency department after discharge from the Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital from January 2023 to January 2025 were selected as study subjects. They were randomly divided into a control group and a study group using a random number table method, with 100 neonates in each group. The control group received routine nursing extension intervention, while the study group received extended nursing mode based on information short-distance communication. The two groups were compared in terms of neonatal readmission rate, behavioral state scores (behavioral ability, active muscle tone, passive muscle tone, primitive reflexes, general state), clinical related indicators (time to first defecation, time to jaundice resolution, time to meconium color change to yellow, average daily sleep duration), and jaundice indicators [total bilirubin (TBIL), direct bilirubin (DBIL), indirect bilirubin (IBIL), jaundice index]. Results The readmission rate of neonates in the study group was 2.00%, which was lower than 15.00% in the control group (P<0.05). After nursing intervention, the scores of behavioral ability, active muscle tone, passive muscle tone, primitive reflexes, general state, and the total NBNA score in the study group were higher than those in the control group (P<0.05). The time to first defecation, time to jaundice resolution, and time to meconium color change to yellow in the study group were shorter than those in the control group, while the average daily sleep duration in the study group was longer than that in the control group (P<0.05). After nursing intervention, the levels of TBIL, DBIL, IBIL, and jaundice index in the study group were lower than those in the control group (P<0.05). Conclusion Extended nursing mode based on information short-distance communication can effectively reduce the readmission rate of neonates with jaundice, improve neonatal behavioral state, optimize clinical related indicators, and promote jaundice resolution. It has high clinical application value and is worthy of widespread application.

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更新日期/Last Update: 1900-01-01