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创优护理服务在先天性梨状窝瘘患儿中的实施与效果

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目的 观察创优护理服务在先天性梨状窝瘘患儿中的实施与效果.方法 选择2020年1月—2022年12月收治于医院的先天性梨状窝瘘学龄前患儿68例为观察对象,按照组间基本特征具有可比性的原则将患儿分为观察组和对照组各34例,对照组遵循先天性梨状窝瘘内镜术常规式护理法施护,观察组于对照组基础上实施创优护理服务,对两组干预后健康管理知信行评分、疼痛评分、术后不适应行为阳性率、术后并发症总发生率进行比较.结果 观察组患儿术后3个时间节点的疼痛评分分别为2.29±0.46分、2.56±0.75分、1.68±0.47分,低于对照组的3.35±0.49分、3.71±0.76分、2.41±0.61分;观察组患儿术后无不适应行为,低于对照组的17.65%;观察组患儿术后并发症总发生率为2.94%,低于对照组的23.53%;观察组家长健康管理知信行评分分别为9.29±0.58分、9.41±0.50分、9.38±0.49分,高于对照组的5.91±0.83分、5.97±0.90分、5.32±1.15分,差异均有统计学意义(P<0.05).结论 将创优护理服务应用于先天性梨状窝瘘术学龄前患儿中,利于其术后疼痛度、不适应行为阳性率、并发症发生率的降低,可提升其家长的健康管理知信行水平.
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

张希、纪尧峰、李莹、曾筱、王晓莹

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徐州市儿童医院耳鼻咽喉头颈外科(江苏省徐州市,221006)

创优护理服务 先天性梨状窝瘘 学龄前 术后不适应行为 并发症发生率

徐州市卫生健康委科研项目

XWKYHT20220083

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(7)
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