专科护士主导的加速康复外科护理在短段型先天性巨结肠患儿的应用效果评价

Accelerated rehabilitation surgical nursing care led by special nurses for children with short-segment congenital megacolon

目的评价专科护士主导的加速康复外科护理在短段型先天性巨结肠患儿的应用效果。方法本研究中的观察对象均为本院接收的短段型先天性巨结肠患儿,64例患儿的收治时间均在2017年5月至2018年7月期间。所有患儿经信封式分组法分为两组,对照组与观察组患儿分别接受常规护理与专科护士主导的加速康复外科护理。比较两组患儿的疼痛程度与排气、排便时间和胃管、肛管、尿管拔除时间。结果观察组患儿的排气时间[(11.73±0.62)h比(17.93±1.06)h]、排便时间[(11.86±0.79)h比(20.89±2.92)h]均明显较对照组短,其胃管、肛管和尿管拔除时间均明显短于对照组,疼痛评分明显较对照组低[(1.72±0.12)分比(2.98±0.16)分],两组比较差异均有统计学意义(均P<0.05)。结论专科护士主导的加速康复外科护理应用于短段型先天性巨结肠患儿中对其机体康复有促进作用,对患儿术后安全有重要保障。

Objective To evaluate the effect of accelerated rehabilitation surgical nursing care led by specialist nurses for children with short-segment congenital megacolon. Methods The subjects in this study were all children with congenital megacolon treated in our hospital. The admission time of the 64 patients was from May, 2017 to July, 2018. The children were divided into a control group and an observation group according to the envelope grouping method. The control group were routinely cared, and the observation group received accelerated nursing care from special nurses. The pain degree, and exhaustion time, defecation time, and gastric tube, anal canal, and urinary catheter removal times were compared between the two groups. Results The exhaustion time [(11.73±0.62)h vs.(17.93±1.06)h], defecation time [(11.86±0.79)h vs.(20.89±2.92) h], and the times for removing gastric tube, anal canal, and urinary catheter were significantly shorter and the pain score [(1.72±0.12) vs.(2.98±0.16)] was significantly lower in the observation group than in the control group (all P < 0.05). Conclusion Accelerated rehabilitation surgical nursing care led by special nurses can promote the body recovery of children with short-segment congenital megacolon, and is safe.