Objective To explore the effect of parental emotional intervention combined with token rewards in the nursing of children undergoing appendectomy to provide a reference for nursing strategies.Methods A total of 104 children who un-derwent laparoscopic appendectomy in the Department of Pediatric Surgery at Fuyang People's Hospital from January 2022 to February 2023 were selected.According to the voluntary principle of the children's families,a non-randomized clinical concurrent control study was conducted,assigning the children into a control group and a combined group,with 52 cases in each.The control group received conventional perioperative nursing,while the combined group received parental emotional interven-tion combined with token rewards during the perioperative period.Postoperative recovery,complication incidence,treatment compli-ance,and psychological state before and after surgery were compared between the two groups.Results The combined group had a shorter time to first postoperative flatus,time to first defecation,time to first bowel sound,time to ambulation,time to diet,and length of hospital stay than the control group,with statistically significant differences(P＜0.05).The incidence of compli-cations within 3 months post-surgery in the combined group was significantly lower than that in the control group[5.77％(3/52)vs.19.23％(10/52);x2=4.308,P=0.038].No significant differences were found in preoperative Fankl treat-ment compliance scale scores and Houpt behavior scale scores between the two groups(P＞0.05).However,postoperative scores on these scales were higher than preoperative scores in both groups,and higher in the combined group than in the control group,with statistically significant differences(P＜0.05).Preoperative self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores showed no significant differences between the two groups(P＞0.05).Postoperative SDS and SAS scores were lower than preoperative scores in both groups,and lower in the combined group than in the control group,with statistically significant differences(P＜0.05).Conclusion Parental emotional intervention combined with to-ken rewards can promote postoperative recovery in children undergoing appendectomy,reduce the risk of complications,im-prove treatment compliance,and alleviate depressive and anxious emotions.This approach holds promise for clinical promo-tion and application.
关键词
父母亲情干预/代币奖励/阑尾炎患儿/术后恢复情况/治疗依从性/负性情绪
Key words
Parental emotional intervention/Token rewards/Children with appendicitis/Postoperative recovery/Treatment compliance/Negative emotions
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