Effects of empowerment education on postoperative quality of life in children with congenital esophageal atresia
Objective:To investigate the effects of empowerment education on postoperative quality of life in children with congenital esophageal atresia.Methods:Using a parallel-controlled design,we dynamically enrolled 86 children with congenital esophageal atre-sia who visited the Children's Hospital of Chongqing Medical University from March 2020 to February 2023.They were assigned into control group(n=42)and experimental group(n=44)according to the order of enrollment.The control group received conventional health education,while for the experimental group,in addition to the conventional intervention,empowerment education was adminis-tered to the parents of the children,for a period of 3 months.The two groups were compared in terms of quality of life before and after intervention,growth and development,postoperative complications,and parents'knowledge of the disease and satisfaction with nursing care.Results:After intervention,the experimental group showed a significantly higher total score of quality of life[87.50(79.32,97.22)vs.78.17(75.00,88.54)]and significantly higher scores in the physical domain,psycho-emotional domain,social interaction,and school roles(all P＜0.05);and compared with the control group,the experimental group also had a significantly higher total score of quality of life[87.50(79.32,97.22)vs.79.76(71.88,89.29)]as well as significantly higher scores in the physical,psycho-emotional,and social interaction domains(all P＜0.05).After the intervention,the body mass index of the experimental group was[15.70(15.08,16.48)],which was significantly better than the pre-intervention level[15.05(14.35,16.00)]and that of the control group[14.85(13.60,16.00);bothP＜0.05].The experimental group had signifi-cantly less frequent dyspnea(22.73％vs.42.86％)and dysphagia and bucking as well as a significantly higher level of disease knowl-edge and degree of satisfaction with nursing care compared with the control group(all P＜0.05).Conclusion:Empowerment education can effectively improve the postoperative quality of life of children with congenital esophageal atresia;reduce the incidence of dys-pnea,dysphagia,and bucking;alleviate the discomfort caused by postoperative complications;increase the body mass index after sur-gery;and improve parents'disease knowledge and satisfaction with care.
empowerment educationcongenital esophageal atresiapostoperativechildrenquality of life
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维普
