先天性脐膨出患儿的围手术期护理方法

Perioperative Nursing Care of Children With Congenital Omphalocele

目的探讨先天性脐膨出患儿的围手术期护理。方法收集2010年1月—2015年2月我院40例脐膨出患者,男18例,女22例,出生后0~12 h。出生体重1.9~3.8 kg,可见脐部有一圆形膨出物,腹壁缺损4~7 cm。随机分为研究组和对照组,研究组(接受优质围手术期护理)和对照组(接受常规护理)。分析(1)两组患者术后住院时间及并发症发生情况。(2)研究组和对照组家属对护士护理满意度。结果 (1)两组患者术后住院时间及并发症(发热、切口感染、会阴部水肿、呼吸道感染)发生情况比较差异有统计学意义(P<0.05)。(2)研究组和对照组家属对护士护理满意度比较差异有统计学意义(P<0.05)。结论通过对先天性脐膨出患儿采取优质的围手术期护理可以缩短患者住院时间,减少术后并发症的发生,提高护理质量。

Objective To investigate the perioperative nursing care of patients with congenital omphalocele. Methods From January 2010 to February 2015 in our hospital, 40 cases of congenital omphalocele patients, male 19 cases, female 22 cases, 0~12 hours after birth. The birth weight of 1.9~3.8 kg, visible navel and a circular bulge, abdominal wall defect 4~7 cm. Randomly divided into study group and control group, the study group（received the quality of perioperative care） and control group（receiving routine care）. Analysis（1） Two groups of patients with postoperative hospital stay and the incidence of complications.（2） The study group and the control group family members to nurse the nursing satisfaction degree. Results（1） Two groups of patients with postoperative hospital stay and complications（fever, incision infection, perineal edema, respiratory tract infection） were different（P〈0.05）.（2） The study group and the control group’s family members have the difference（P〈0.05） to the nurse’s satisfaction degree. Conclusion The congenital omphalocele adopt high quality perioperative nursing can shorten the hospitalization time of patients, reduce the incidence of postoperative complications, improve the quality of nursing care.