首页|家庭合作照顾护理模式在Pierre-Robin序列征患儿行下颌骨牵张成骨术后康复中的应用

家庭合作照顾护理模式在Pierre-Robin序列征患儿行下颌骨牵张成骨术后康复中的应用

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目的 探讨家庭合作照顾护理模式在行下颌骨牵张成骨术Pierre-Robin序列征患儿术后康复中的应用效果.方法 选取2020年1月—2023年1月在南京医科大学附属儿童医院因Pierre-Robin序列征行下颌骨牵张成骨术的130例患儿,按照护理方法不同,将接受传统护理模式干预的70例患儿设为对照组,将接受家庭合作照顾护理模式干预的60例患儿设为观察组.比较2组患儿干预前后的实验室营养指标[血红蛋白(Hb)、血清总蛋白(TP)、白蛋白(ALB)]、营养不良发生情况、鼻饲期间并发症发生情况以及干预结束时的家长护理满意度.结果 干预前,2组患儿的血清Hb、TP及ALB水平比较,差异均无统计学意义(P>0.05).干预后,2组患儿的血清Hb、TP及ALB水平均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05).观察组患儿的营养不良率为8.34%(5/60),低于对照组的22.86%(16/70),差异有统计学意义(χ2=5.032,P=0.025).观察组患儿鼻饲期间并发症发生率为15.00%(9/60),低于对照组的28.57%(20/70),差异有统计学意义(χ2=3.433,P=0.064).观察组患儿主要照顾者PZB服务质量量表(SERVQUAL)的移情性、可靠性、反应性、有形性、保证性5个维度评分均高于对照组患儿主要照顾者,差异有统计学意义(P<0.05).结论 家庭合作照顾护理模式在行下颌骨牵张成骨术Pierre-Robin序列征患儿术后康复中的应用效果良好,有助于改善患儿的营养状况,降低营养不良及并发症发生风险并提升主要照顾者满意度.
Application of family-collaborative care nursing model in the rehabilitation of children with Pierre-Robin sequence after mandibular distraction osteogenesis
Objective To explore the application of the family-collaborative care nursing model in the rehabilitation of children with Pierre-Robin sequence after mandibular distraction osteogenesis.Methods A total of 130 children who underwent mandibular distraction osteogenesis for Pierre-Robin sequence at our hospital from January 2020 to January 2023 were select-ed.They were assigned to a control group(n=70)receiving conventional nursing model intervention and an observation group(n=60)receiving family-collaborative care nursing model intervention.The laboratory nutritional indicators[hemo-globin(Hb),serum total protein(TP),albumin(ALB)],incidence of malnutrition,complications during nasogastric feed-ing,and parental degree of satisfaction with nursing at the end of the intervention were compared between the two groups.Results Before intervention,no statistically significant differences were noted in serum Hb,TP,and ALB levels between the two groups of children(P>0.05).After intervention,the serum Hb,TP,and ALB levels in both groups were higher than before the intervention,and the observation group had higher levels than the control group,with statistically significant differences(P<0.05).The malnutrition rate in the observation group was significantly lower than that in the control group[8.34%(5/60)vs.22.86%(16/70);χ2=5.032,P=0.025].The complication rate during nasogastric feeding in the ob-servation group was significantly lower than that in the control group[15.00%(9/60)vs.28.57%(20/70);χ2=3.433,P=0.064].The subscale scores(empathy,reliability,responsiveness,tangibility,and assurance)of the SERVQUAL scale in the observation group's parents were all significantly higher than those of the control group's parents(P<0.05).Conclusion The application of the family-collaborative care nursing model in the rehabilitation of children with Pierre-Robin sequence after mandibular distraction osteogenesis is effective,which is conducive to improving the nutritional status of chil-dren,reducing the risk of malnutrition and complications,and boosting parental satisfaction.

Family-collaborative care nursing modelPierre-Robin sequenceMandibular distraction osteogenesisPostopera-tive rehabilitationNutritional status

章红、马蕾、邹继军、涂晶晶、王媛媛、马芸、徐梦雨

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南京医科大学附属儿童医院烧伤整形科,南京 210000

家庭合作照顾护理模式 Pierre-Robin序列征 下颌骨牵张成骨术 术后康复 营养状况

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(10)