아동간호학 신생아황달 Neonatal jaundice 간호과정 케이스

목차

Ⅰ. 서론
1. 대상자 선정 이유 ···································································································
2. 통계적 자료 ································································································································

Ⅱ. 본론
1. 문헌고찰 ········································································································
2. 간호력 ············································································································
1) 간호력 ·····································································································································
2) 간호사정 ··································································································································
3) 입실 후 경과 ··························································································································
4) 진단적 검사 ····························································································································
5) 진단(치료)을 위한 수(시)술 및 검사 ·················································································
6) 주요 약물요법 ························································································································
3. 간호과정 ········································································································
1) 우선순위에 따른 간호진단 ··································································································
2) 간호과정 적용 ························································································································

Ⅲ. 결론 ·····················································································································

Ⅳ. 참고문헌 ···········································································································

본문내용

Ⅰ. 서론
1. 대상자 선정 이유
2023.11.20.~2023.12.01. 동안 서울 순천향대학병원으로 아동Ⅱ 실습을 나오게 되었는데 신생아실과 신생아중환자실이 함께 있는 병원이라 다양한 질병을 가진 신생아들과 미숙아들을 볼 수 있었다. 이 중 대부분의 신생아들이 안대를 착용하고 광선치료를 시행하고 있었는데 이처럼 황달은 신생아에게 흔하지만 치료를 하지 않으면 간접 빌리루빈이 뇌에 침착하게 되어 호흡성 산증, 뇌막염 등의 질환의 촉진요인이 될 수 있다. 따라서 신생아실 간호사로 일하게 된다면 황달을 가진 신생아들을 흔하게 마주할 수 있을 것이라 생각하여 이러한 신생아들에게는 어떠한 간호와 치료를 제공해야 하는지 알아보고 싶어 황달 진단을 받은 신생아로 대상자
를 선정하게 되었다.
2. 통계자료
신생아 황달은 크게 생리적 황달과 병리적 황달로 나눠볼 수 있다. 생리적 황달은 특별한 질환없이 생후 2~4 일 경에 나타나며 1 주일 정도면 자연 소실된다. 병리적 황달은 출생 후 24시간 이내에 발생하여 2 주 정도 후에도 지속되는 황달이다. 황달이 지속될 경우 뇌손상을 일으킬 수 있으므로 병리적 황달은 치료가 필요하다. 2018 년 KOSIS 국가통계포털에서 발표한 보건복지부에서 실시한 「산후조리 실태조사-출생아의 병의원에서의 치료경험률」에 따르면 신생아 황달은 생후 2 주 이내 치료경험률이 79.4%,생후 2 주~4 주 이내 치료경험률이 22.7%를 차지하며 생후 4 주 이내에 대부분 치료를 시작하게 되는 질환이다.
Ⅱ. 본론
1) 문헌고찰
① 질환 문헌고찰
질병의 정의
신생아 황달은 생후 3~4일경에 아기의 피부가 밝은 오렌지색이나 노란색을 띠다가 생후 7~10일경에 저절로 사라지는 증상을 의미한다. 이는 정상 신생아의 60~80%에서 나타날 수 있는 생리적 황달로, 병적인 황달과는 다르다.

참고자료

· 광선요법(Phototherapy)│검사/시술/수술 정보│의료정보│건강정보│서울아산병원[internet].https://www.amc.seoul.kr/asan/healthinfo/management/managementDetail.do?managementId=180
· 광선치료│검사 및 치료 안내│신생아중환자실│신생아│모아집중치료센터│삼성서울병원 [internet].http://www.samsunghospital.com/dept/main/index.do?DP_CODE=FETC&MENU_ID=013048028054
· 기타 신생아 황달(neonatal jaundice from other causes) N 의학정보 │서울대학교병원.[internet].http://www.snuh.org/health/nMedInfo/nView.do?category=DIS&medid=AA000073
· 원종순 박수현 송민선 김남초 외. 간호과정과 비판적사고 제3판.서울,수문사.2022. p4. 아동간호하하하하하학
· KIMS 의약정보센터[internet]. 서울: 킴스; (2023.11.28.).https://www.health.kr/main.asp
· 보건복지부, 「산후조리실태조사」, 2018, 2023.11.25, 출생아의 병의원에서의 치료경험률