儿童腹股沟疝围手术期风险预警干预

Application of early warning intervention based on risk assessment in perioperative nursing of children with inguinal hernia

目的探究基于风险评估的预警干预在腹股沟斜疝患儿围手术期护理中的应用。方法回顾性分析2020年1月至2022年1月亳州市人民医院收治的210例腹股沟斜疝患儿临床资料,将2020年1—12月采用常规护理干预的患儿纳入对照组(n=103),将2021年1月—2022年1月实施基于风险评估的预警干预的患儿纳入观察组(n=107),比较2组手术及住院情况、不良情绪、护理风险事件发生情况、护理满意度及并发症。结果2组手术时间、术中出血量比较差异无统计学意义(P>0.05);观察组住院天数(2.05±0.34)d、住院费用(2446.72±256.73)元均少于对照组的(3.16±0.86)d、(4083.46±283.18)元(P<0.05);2组干预后儿童焦虑性情绪障碍筛查量表及儿童抑郁障碍自评量表评分均下降,观察组(16.55±1.49)分、(12.18±1.05)分低于对照组的(19.64±1.85)分、(15.14±1.37)分(P<0.05);观察组护理风险事件发生率(6.54%)显著低于对照组(21.36%)(P<0.05);观察组护理满意率(92.52%)显著高于对照组(83.50%)(P<0.05)。结论对腹股沟斜疝患儿围手术期采用基于风险评估的预警干预可减少住院时间与住院费用,改善患儿不良情绪及减少风险事件发生,同时提升护理满意度。

Objective To investigate the application of early warning intervention based on risk assessment in perioperative nursing of children with indirect inguinal hernia.Methods Clinical data of 210 children with indirect inguinal hernia who were admitted to Bozhou People's Hospital from January 2020 to January 2022 were analyzed retrospectively.Children who received routine nursing intervention from January to December 2020 were included in the control group(n=103)and those who received early warning intervention based on risk assessment from January 2021 to January 2022 were included in the observation group(n=107).Surgical and hospitalization conditions,adverse emotions,the incidence of nursing risk events,nursing satisfaction and complications were compared between the two groups.Results There was no significant difference in surgical time and intraoperative blood loss between the two groups(P>0.05).Hospital stay and Hospitalization costs of the observation group[(2.05±0.34)d and(2446.72±256.73)yuan]were shorter/less than those of the control group[(3.16±0.86)days and(4083.46±283.18)yuan](P<0.05).After intervention,the Screen for Child Anxiety Related Emotional Disorders(SCARED)scores and Depression Self Rating Scale for Children(DSRSC)scores decreased in both groups.The scores of the observation group[(16.55±1.49)and(12.18±1.05)]were lower than those of the control group[(19.64±1.85)and(15.14±1.37)](P<0.05).The incidence of nursing risk events in the observation group(6.54%)was significantly lower than that in the control group(21.36%)(P<0.05),and nursing satisfaction rate was significantly higher in the observation group(92.52%)than that in the control group(83.50%)(P<0.05).Conclusion Applying perioperative early warning intervention based on risk assessment to children with indirect inguinal hernia can reduce the length of hospital stay and hospitalization costs,improve adverse emotions,reduce risk events and improve nursing satisfaction.