全面护理干预在先天性心脏病介入治疗中的应用

Application of Comprehensive Nursing Intervention in Children with Cardiac Interventional surgery

目的:探讨全面护理干预对进行介入手术治疗的先天性心脏病患者的影响。方法:将132例先天性心脏病患者分为2组,均行介入手术。观察组68例采用围手术期全面护理干预,对照组64例采用常规护理。利用护理过程评价量表(MPOC-56)评估家属满意度,使用慢性疼痛自我效能感量表(CPSS)评估患者自我效能感,观察2组并发症情况,对比2组上述指标的差异。结果:并发症发生率观察组4.41%,对照组18.75%,观察组显著低于对照组(P<0.05);患者自我效能感总分观察组78.45±7.62分,对照组56.95±6.89分,观察组显著高于对照组(P<0.05);家属MPOC-56评分观察组5.47±0.21分,对照组4.62±0.74分,观察组显著高于对照组(P<0.05)。结论:对行介入手术的先天性心脏病患者进行围术期全面护理干预,能够减少术后并发症,改善患者在疼痛管理、躯体功能与症状应对等各方面的自我效能感,有利于促进患者术后康复及提高治疗满意度。

Objective： To investigate the influence of comprehensive nursing intervention on children with cardiac interventional surgery. Methods： 132 cases of cardiac interventional surgery in our hospital were divided in to 2 groups,the observation group（ 68 cases） received comprehensive nursing intervention in perioperative period,while the control group received pediatric routine nursing. The satisfaction rate,self- efficacy were evaluated by Measure of Processes of Care（ MPOC- 56）.Chronic Pain Self- efficacy Scale（ CPSS） and the complications were observed. Results： The incidence rate of complications in observation group 4. 41% was lower than that in control group 18. 75%（ P〈0. 05）; The children patients ＇self- efficacy in observation group 78. 45 ± 7. 62 was higher than that in control group 56. 95 ± 6. 89（ P〈0. 05）; The satisfaction rate of family members of the patients in observation group 5. 47 ± 0. 21 was higher than that in control group 4. 62 ± 0. 74（ P〈0. 05）.Conclusion： Comprehensive nursing intervention on children with cardiac interventional surgery can reduce incidence rate of complications,improve children patients＇ self- efficacy,and is beneficial to promote recovery and raise satisfaction rate of family members of the patients.