首页|预见性干预在介入手术治疗儿童脉管畸形中的应用价值

预见性干预在介入手术治疗儿童脉管畸形中的应用价值

Application value of predictive nursing intervention in vascular malformations children underwent interventional therapy

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目的 探讨预见性护理干预对脉管畸形患儿经介入治疗在预防或降低常见并发症、不良反应中的应用价值,患者及家属焦虑情绪改善和满意度评价.方法 选取河北省儿童医院2019~2022年介入治疗936例脉管畸形患儿,随机等分为对照组和观察组,每组468例.对照组采用一般护理方法,遵照医嘱执行治疗和护理至出院.观察组在一般护理基础上,采用预见性护理干预.比较2组患儿发热、腹泻、哭闹烦躁、疼痛、呕吐等不良反应发生情况;比较经血管栓塞剂,硬化剂注射治疗后发生感染、皮肤糜烂、局部组织缺损,穿刺部位出血等并发症发生情况;比较2组患儿及家属焦虑情绪状态;比较满意度问卷调查结果.结果 观察组患儿不良反应、并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患者及家属焦虑情绪明显好转,且满意度问卷调查结果,观察组满意度优于对照组,差异均有统计学意义(P<0.05).结论 预见性护理干预在介入治疗儿童脉管畸形中能够降低不良反应/并发症发生率,患儿及家属摆脱焦虑情绪状态,满意度得到明显提升,有助提高介入治疗儿童脉管畸形的疗效.
Objective To investigate the application value of predictive nursing intervention in the reduction of common complications and adverse reactions in children with vascular malformations(VMs)underwent interventional therapy,and to explore anxiety emptionn and satisfaction of childre and their families.Methods A total of 936 VMs children underwent interventional therapy who received in Hebei Children's Hospital from 2019 to 2022 were enrolled.They were randomly assigned to receive either routine care until discharge(control group,n=468)or routine care+predictive nursing intervention(observation group,n=468).The aim was to compare the incidence of adverse reactions including fever,diarrhea,crying and irritability,pain,vomiting,the incidence of complications including infection,skin erosion,local tissue injury,puncture site bleeding after injection of vascular embolization agent and sclerosing agent,the questionnaire results for anxiety and satisfaction.Results The incidence of adverse reactions and complications in the observation group was significantly lower than that of the control group(P<0.05).The anxiety of children and their families in the observation group was significantly improved,and the questionnaire results showed the satisfaction of the observation group was significantly better than that of the control group(P<0.05).Conclusion Predictive nursing intervention in VMs children with interventional therapy can reduce the incidence of adverse reactions and complications,relieve the anxiety of children and their families,significantly increase satisfaction,and improve efficacy.

predictive nursingchildrenvascular malformationsinterventional therapyhardener

高妹花、高杨、刘学英、芦凯、王会肖

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050031 石家庄市,河北省儿童医院导管室

预见性护理 儿童 脉管畸形 介入治疗 硬化剂

河北省卫健委医学科学研究课题计划

20231114

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(14)