以家庭为中心的护理干预在先天性小耳畸形患儿围手术期的应用

The Application of Family Centered Nursing Intervention in the Perioperative Period of Children with Congenital Microtia

目的:探讨以家庭为中心的护理模式对缓解先天性小耳畸形患儿及父母焦虑的效果。方法:将110例小耳畸形患儿及父母随机分成对照组及干预组,每组各55例,对照组沿用常规护理模式,干预组实施"以家庭为中心的护理"措施,比较两组患儿及其父母的焦虑情况。结果:进入手术室及麻醉诱导时(T2)、术后1d(T3)、术后7d(T4)干预组患儿耶鲁围手术期焦虑量表(modified Yale preoperative anxiety scale,m YPAS)评分明显低于对照组,差异有统计学意义(P<0.05)。干预组患儿父母症状自评量表(symptom checklist,SCL-90)评分明显低于对照组,差异有统计学意义(P<0.05)。结论:对先天性小耳畸形患儿行"以家庭为中心的护理"干预可以缓解患儿及父母围手术期的焦虑,提高围手术期依从性,提高护理质量及满意度。

Objective To investigate the effect of family centered nursing intervention on congenital microtia children and parents'anxiety.Methods110cases of microtia were randomly divided into the control group and the experimental group,55cases in each group.The"family-centered nursing"was applied for the experimental group,while the traditional nursing mode was applied for the control group.The anxiety of the two groups of children and their parents were compared.Results The scores of mYPAS in the experimental group at entering operation room and anesthesia induction(T2),postoperative1d(T3)and postoperative7d(T4)were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The SCL-90score of the parents in the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion"Family centered nursing intervention"could significantly reduce the anxiety level for both patient and parents during perioperative management,the compliance and overall satisfactionof the clinical nursing was then achieved.