首页|叙事护理在儿童包皮扩张分离术中的应用研究

叙事护理在儿童包皮扩张分离术中的应用研究

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目的 探讨叙事护理在儿童包皮扩张分离术中的应用效果。方法 选取2023年7-8月在某三级甲等儿童医院门诊进行包皮扩张分离术的5~12岁患儿240例。其中2023年7月收治的120例患儿为对照组,2023年8月收治的120例患儿为试验组。对照组患儿采用常规护理,试验组患儿在常规护理基础上增加叙事护理,比较2组患儿的焦虑程度、术后疼痛程度及并发症发生率。结果 试验组患儿术后焦虑评分[(30。16±6。70)分]、术后疼痛评分[2。0(2。0,4。0)分]及并发症发生率(12。5%)均明显低于对照组[分别为(32。48±8。84)分、8。0(5。0,12。0)分、30。0%],差异均有统计学意义(P<0。05)。结论 在儿童包皮扩张分离术中应用叙事护理可以减轻患儿的焦虑和疼痛,降低并发症发生率,改善患儿手术体验,提高手术成功率,值得临床推广应用。
Application of narrative nursing in pediatric preputial dilation and separation
Objective To explore the application effect of narrative nursing in pediatric preputial dila-tion and separation.Methods A total of 240 children aged 5-12 years who underwent preputial dilation and separation in the outpatient department of a tertiary children's hospital from July to August 2023 were select-ed.Among them,120 patients admitted in July 2023 were assigned to the control group,and 120 patients ad-mitted in August 2023 were assigned to the experimental group.The control group received routine nursing,while the experimental group received narrative nursing in addition to routine nursing.The anxiety level,post-operative pain level,and complication rate were compared between the two groups.Results The anxiety score[(30.16±6.7)points],postoperative pain score[2.0(2.0,4.0)points],and complication rate(12.5%)in the experimental group were significantly lower than those in the control group[(32.48±8.84)points,8.0(5.0,12.0)points,and 30.0%,respectively],with statistically significant differences(P<0.05).Conclusion The application of narrative nursing in pediatric preputial dilation and separation can alleviate anxiety and pain of children,reduce the complication rate,improve surgical experience,and increase the success rate of surgery,which is worthy of clinical promotion and application.

Narrative nursingPreputial dilation and separationAnxietyPainSurgical expe-rienceChildren

陈冬梅、莫霖、余璐、李荣丽、李朝瑾、吴邛浕

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重庆医科大学附属儿童医院门诊部/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童代谢与炎症性疾病重庆市重点实验室,重庆 401122

叙事护理 包皮扩张分离术 焦虑 疼痛 手术体验 儿童

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(18)