Objective To clarify the key links of nursing care in skull external fixation distraction osteogenesis treatment of midfacial depression deformity in the children,and to give targeted nursing program.Methods A total of 58 children with midfacial depression deformity who had undergone skull external fixation distraction osteogenesis in the author's hospital were selected from March 2021 to March 2023,and were randomly divided into 29 cases each in the control group and the experimental group to assess the nursing effect of the two groups.The control group was given routine nursing care.The experimental group was analyzed the key links of perioperative nursing care on the basis of routine nursing care,and was given targeted nursing care program.Results The anxiety scores of children and their parents in the experimental group were significantly lower than those in the control group(P＜0.05).In the control group,176(60.69％)and 20(34.48％)of the head nail and nasal traction hook wounds were infected,while 3(1.03％)and 2(3.45％)of the head nail and nasal traction hook wounds were infected in the experimental group.The wound infection rate around the head traction nail and the wound infection rate at the nasal traction hook in the experimental group were significantly lower than those in the control group(P＜0.05).The pain score of the experimental group was lower than that of the control group,and the sleep and nursing satisfaction scores were higher than those of the control group,and the differences were statistically significant(P＜0.05).Conclusion The large size of the head frame,the large number of fixation points for tissue penetration and the need for long-term wear are the core factors affecting the care of this type of children.Children should be made to form correct wearing habits and problems such as infection should be closely controlled to minimize the impact on their lives.
维普
万方数据