首页|家庭赋权-督导跟进护理模式在小儿尿道下裂术后延续性护理中的应用

家庭赋权-督导跟进护理模式在小儿尿道下裂术后延续性护理中的应用

扫码查看
目的 探讨家庭赋权-督导跟进护理模式在小儿尿道下裂术后延续性护理中的应用效果,以期为临床护理决策的制定提供依据.方法 选取2019年8月-2022年1月在南京医科大学附属儿童医院行手术治疗的126例尿道下裂患儿为研究对象,采用随机数字表法分为观察组及对照组,各63例.对照组患儿给予常规护理,观察组患儿在常规护理基础上给予家庭赋权-督导跟进护理模式干预,比较2种干预方式对患儿疼痛程度、行为、术后恢复情况及主要照顾者照护能力的影响,记录并发症发生率.结果 干预前,2组患儿压力流率、自由尿流率比较,差异无统计学意义(P>0.05);干预后,2组患儿压力流率显著降低,自由尿流率显著升高,且观察组压力流率明显低于对照组,自由尿流率高于对照组(P<0.05).干预前,2组患儿儿童行为疼痛评分量表中哭闹、面部表情、可安慰度、腿部状态、躯干活动各维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿以上各维度评分均显著降低,且观察组低于对照组(P<0.05).干预前,2组患儿儿童行为量表中分裂性、抑郁、交往不良、强迫性、违纪、体诉、社交退缩、多动、攻击性各维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿以上各维度评分均显著降低,且观察组低于对照组(P<0.05).干预前,2组照顾者中文版家属照护能力量表中适应照护角色、应变及提供协助、处理个人情绪、调整个人生活及照护需求、评估家庭及社会资源各维度评分比较,差异均无统计学意义(P>0.05);干预后,2组照顾者以上各维度评分均显著降低,且观察组低于对照组(P<0.05).观察组患儿并发症发生率为3.18%,低于对照组的14.29%(P<0.05).结论 家庭赋权-督导跟进护理模式的应用可有效改善尿道下裂患儿不良行为、降低术后疼痛程度、提高主要照顾者照护能力、促进患儿术后恢复,并可降低术后并发症发生率,值得在临床推广应用.
Application of the family empowerment-supervised follow-up nursing model in continuing nursing after hypospadias surgery in children
Objective To explore the effectiveness of the family empowerment-supervised follow-up nursing model in continu-ing nursing after hypospadias surgery in children,to provide a basis for clinical nursing decision-making.Methods A total of 126 children with hypospadias who underwent surgical treatment at the Children's Hospital of Nanjing Medical University from August 2019 to January 2022 were selected as the study participants and were randomly assigned to an observation group and a control group,with 63 cases in each group.The control group received routine nursing,while the observation group received interventions based on the family empowerment-supervised follow-up nursing model in addition to routine nursing.The impact of the two intervention methods on the children's pain levels,behavior,postoperative recovery,and the care capacity of the main caregivers was compared,and the incidence of complications was recorded.Results Before inter-vention,there was no statistically significant difference in pressure flow rate and free urinary flow rate between the two groups of children(P>0.05).The pressure flow rate in both groups of children was significantly reduced after interven-tion,and the free urinary flow rate was significantly increased,with the observation group having a significantly lower pres-sure flow rate and higher free urinary flow rate than the control group(P<0.05).Before intervention,no statistically sig-nificant difference was noted in the crying,facial expression,consolability,leg condition,and trunk activity scores of the two groups of children on the Children's Behavioral Pain Rating Scale(P>0.05).The subscale scores were significantly re-duced in both groups,with the observation group having lower scores than the control group(P<0.05).Before interven-tion,no statistically significant difference was observed in the scores of the Child Behavior Checklist for withdrawal,depres-sion,social problems,compulsivity,rule-breaking,somatic complaints,social withdrawal,hyperactivity,and aggression subscales between the two groups(P>0.05).The subscale scores were significantly reduced in both groups after the inter-vention,with the observation group having lower scores than the control group(P<0.05).Before intervention,no signifi-cant difference was found in the scores of the Chinese version of the Family Caregiver Capacity Scale for subscales of adap-ting to the caregiving role,coping and providing assistance,managing personal emotions,adjusting personal life and caregiv-ing needs,and assessing family and social resources between the two groups of caregivers(P>0.05).The subscale scores were significantly reduced in both groups after the intervention,with the observation group having lower scores than the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(3.18%vs.14.29%;P<0.05).Conclusion The application of the family empowerment-supervised follow-up nursing model can effectively improve children's misbehavior after hypospadias surgery,reduce postoperative pain,pro-mote the care capacity of the main caregivers,strengthen postoperative recovery in children,and reduce the incidence of postoperative complications,making it worth promoting and applying in clinical practice.

Family empowerment-supervised follow-up nursing modelChildrenHypospadias surgeryContinuing nursing

刘沁怡、李小红、蒋银珠、王敬梓、金成

展开 >

南京医科大学附属儿童医院泌尿外科,南京 210000

家庭赋权-督导跟进护理模式 小儿 尿道下裂术 延续性护理

国家自然科学基金青年基金

82203107

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(5)
  • 18