To explore the effect of early individualized development support nursing on the pathological jaundice of premature infants.

A total of 137 premature infants who were transferred to NICU in the same period were selected and were divided into the intervention group with 69 cases and the control group with 68 cases according to the random number table method.The children in the control group were given warm box temperature, anti-infection, nutritional support, low blood glucose, reasonable oxygen supply, ECG monitoring, and treatment of diseases.For intervention group on this basis, a team was built to cooperate for development support nursing group and implement early development support nursing intervention, which is the early development support nursing mode of early oral movement development support, gastrointestinal function development support and musicotherapy touching development support integrated was implemented 24 hours after premature infants were born.

The icteric index and serum bilirubin were (8.89±1.56)mg/dL, (100.12±15.23)μmol/L, (11.30±2.52)mg/dL and (149.50±27.50)μmol/L respectively 4 and 7 days after child patients of intervention group were born.The indexes of child patients in control group were(9.83±1.12)mg/dL, (112.17±17.36)μmol/L, (14.68±3.29)mg/dL and (170.45±28.63)μmol/L respectively. Compared with both groups, the difference had statistical significance(P<0.01). The icterus occurrence time, duration time, extinction time, monitoring time and time to put into warm box of child patients in intervention group were (4.36± 1.21), (8.75±1.34), (10.52±2.07), (4.62± 1.25) and (9.76±2.05)days, and it was (3.18±1.03), (10.52±2.57), ( 11.37± 2.62 ), (5.53±1.62) and (11.75±2.72)days for the child patients in control group.With the comparison of both groups, the difference had statistical significance(P<0.05, <0.01). The abdominal distension relief time, sucking swallowing function establishment time, full dose feeding time, ponderal growth and length of stay of child patients in intervention group were (3.53±1.05)hours, (6.26±1.31)days, (10.27±1.87)days, (14.75±2.13) g/d and (15.28±2.15)days.It was (4.37±2.12)hours, (7.79±2.15)days, (11.62±2.61 )days, ( 12.43± 3.75 )g/d and (17.52±2.81)days for the child patients in control group.With the comparison of both groups, the difference had statistical significance(P<0.01). The serum gastrin and epidermal growth factor of child patients in intervention group were significantly higher than those of the control group, and the difference had statistical significance(P<0.01). However, the stress hormone level was lower than that of the control group, and the difference had statistical significance(P<0.01).

The early development support nursing can prevent or reduce the morbidity of pathologic jaundice of premature infants, improve its prognosis, survival rate and survival quality.

Premature infant; Early development support; Pathologic jaundice