Impact of bundle nursing intervention on jaundice index and development in neonates with hyperbilirubinemia

Nana Tian

Abstract

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.

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