体贴式护理干预在行漏斗胸微创矫正术的漏斗胸患儿中的应用效果

Application Effect of Considerate Nursing Care in Funnel Chest Children Undergoing Nuss Procedure

目的分析体贴式护理干预在行漏斗胸微创矫正术(Nuss手术)的漏斗胸患儿中的应用效果。方法选取2016年2月—2017年2月在新疆医科大学第一附属医院行Nuss手术的漏斗胸患儿84例,采用随机数字表法分为对照组和观察组,每组42例。对照组患儿给予常规护理干预,观察组患儿在对照组基础上给予体贴式护理干预。比较两组患儿术后清醒即刻、24 h、72 h视觉模拟评分法(VAS)评分及术后排气时间、下床活动时间、24 h睡眠时间,比较两组患儿家长干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及满意度。结果观察组患儿术后清醒即刻、24 h、72 h VAS评分低于对照组(P<0.05)。观察组患儿术后排气时间、下床活动时间短于对照组,24 h睡眠时间长于对照组(P<0.05)。干预前两组患儿家长SAS评分、SDS评分比较,差异无统计学意义(P>0.05);干预后观察组患儿家长SAS评分、SDS评分低于对照组(P<0.05)。观察组患儿家长满意度高于对照组(P<0.05)。结论体贴式护理干预可有效缓解行Nuss手术的漏斗胸患儿术后疼痛,促进患儿康复,缓解患儿家长焦虑、抑郁情绪并提高患儿家长满意度。

Objective To analyze the application effect of considerate nursing care in funnel chest children undergoing Nuss procedure. Methods A total of 84 funnel chest children undergoing Nuss procedure were selected in the First Affiliated Hospital of Xinjiang Medical University from February 2016 to February 2017,and they were divided into control group and observation group according to random number table,each of 42 cases. Children in control group received routine nursing care,while children in observation group received considerate nursing care based on that of control group. VAS score immediately after awake,24 hours and 72 hours after surgery,postoperative exhaust time,time of off-bed and 24-hour sleep time,SAS score and SDS score in the parents before and after intervention,and satisfaction in the parents were compared between the two groups. Results VAS score in observation group was statistically significantly lower than that in control group immediately after awake,24 hours and 72 hours after surgery（P〈0.05）. Postoperative exhaust time and time of off-bed in observation group were statistically significantly shorter than those in control group,while postoperative 24-hour sleep time in observation group was statistically significantly longer than that in control group（P〈0.05）. No statistically significant differences of SAS score or SDS score was found in the parents between the two groups before intervention（P〈0.05）,while SAS score and SDS score in the parents in observation group were statistically significantly lower than those in control group（P〈0.05）. Satisfaction in the parents in observation group was statistically significantly higher than that in control group（P〈0.05）. Conclusion Considerate nursing care can effectively relieve the postoperative pain and promote the recovery in funnel chest children undergoing Nuss procedure,relieve the parents＇ anxiety and depression,improve the parents＇ satisfaction.