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Impact of bundle nursing intervention on jaundice index and development in neonates with hyperbilirubinemia
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Impact of bundle nursing intervention on jaundice index and development in neonates with hyperbilirubinemia
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Journal Article
Impact of bundle nursing intervention on jaundice index and development in neonates with hyperbilirubinemia
2025
Overview
Neonatal hyperbilirubinemia (NHB) management often suffers from fragmented conventional nursing approaches, which may compromise treatment efficacy and delay intervention. This prospective randomized controlled trial evaluated the effects of a novel bundle nursing intervention on jaundice index and developmental outcomes in 100 NHB neonates. Participants were randomized to a research group (n=50, bundle nursing) or a control group (n=50, standard care). The research group exhibited significantly accelerated meconium passage and jaundice resolution compared to the control group. Additionally, milk intake improved in the research group compared with the control group, with significantly greater improvements in body weight (3592.92±231.29 g) and body length (46.28±3.94 cm) after the intervention. Dynamic monitoring of serum total bilirubin (TBIL) revealed lower levels in the research group on treatment days 3, 5, and 7, with no cases of severe hyperbilirubinemia. These findings suggest that bundle nursing intervention effectively mitigates hyperbilirubinemia through comprehensive care strategies, promotes neonatal growth.
La prise en charge de l'hyperbilirubinémie néonatale (HNB) est souvent fragmentée en soins infirmiers conventionnels, ce qui peut compromettre l'efficacité du traitement et retarder l'intervention. Cet essai contrôlé randomisé prospectif a évalué les effets d'une nouvelle intervention de soins infirmiers sur l'indice d'ictère et le développement de 100 nouveau-nés atteints d'HNB. Les participants ont été randomisés en un groupe de recherche (n = 50, soins infirmiers) ou un groupe témoin (n = 50, soins standard). Le groupe de recherche a présenté une accélération significative du passage du méconium et de la résolution de l'ictère par rapport au groupe témoin. De plus, la consommation de lait s'est améliorée dans le groupe de recherche par rapport au groupe témoin, avec des améliorations significativement plus importantes du poids corporel (3 592,92 ± 231,29 g) et de la taille corporelle (46,28 ± 3,94 cm) après l'intervention. La surveillance dynamique de la bilirubine totale sérique (BLT) a révélé des taux plus faibles dans le groupe de recherche aux jours 3, 5 et 7 de traitement, sans aucun cas d'hyperbilirubinémie sévère. Ces résultats suggèrent que l'intervention de soins infirmiers axés sur les soins atténue efficacement l'hyperbilirubinémie grâce à des stratégies de soins globales et favorise la croissance néonatale.
Publisher
Women’s Health and Action Research Centre,Women’s Health and Action Research Centre (WHARC),Women's Health and Action Research Centre (WHARC)
