Implementation and effect of excellent nursing services in children with congenital pyriform sinus fistula
Objective To observe the implementation and effect of excellent nursing services in children with congenital pyriform sinus fistula.Methods In total,68 preschool children with congenital pyriform sinus fistula admitted to the hospital from January 2020 to December 2022 were selected for observation.The children were divided into an observation group and a control group,with 34 in each group,following the principle of comparability of basic characteristics between groups.The control group received conventional nursing following endoscopic surgery for congenital pyriform sinus fistula,while the observation group received excellent nursing services on the basic of the control group.The health management knowledge,attitude,and practice scores,pain scores,positive rate of postoperative maladaptation behavior,and total incidence of postoperative complications were compared between the two groups.Results The pain scores of children in the observation group at 3 postoperative time points were 2.29±0.46 points,2.56±0.75 points,and 1.68±0.47 points,respectively,which were lower than those of the control group,which were 3.35±0.49 points,3.71±0.76 points,and 2.41±0.61 points,respectively.There was no postoperative maladaptive behavior in the observation group,which was lower than that of the control group,at 17.65%.The total incidence rate of postoperative complications in children of the observation group was 2.94%,lower than that of the control group,which was 23.53%.The health management knowledge,attitude,and practice(KAP)scores of parents in the observation group were 9.29±0.58 points,9.41±0.50 points,and 9.38±0.49 points,respectively,higher than those of the control group,which were 5.91±0.83 points,5.97±0.90 points,and 5.32±1.15 points,respectively,the differences were statistically significant(P<0.05).Conclusion The application of excellent nursing services to preschool children with congenital pyriform sinus fistula can help reduce postoperative pain,positive rates of maladaptive behaviors,and incidence of complications.Moreover,it can enhance the health management knowledge,attitude,and practice of parents.
Excellence nursing servicesCongenital pyriform sinus fistulaPreschoolPostoperative maladaptation behaviorIncidence of complications