家庭为中心的护理方案在小儿发育性髋关节脱位中的应用

Application of Family-centered Care Programs in Children With Developmental Dislocation of the Hip Joint

目的探究与分析以家庭为中心的临床护理方案在小儿发育性髋关节脱位术后肢体功能康复的影响。方法选取2016年4月-2018年4月的76例小儿发育性髋关节脱位作为研究对象。采用随机数字表法,将其分为对照组和观察组,每组各38例。对照组给予术后常规护理,观察组加用以家庭为中心的临床护理方案。比较肢体功能康复情况、家属护理满意度及并发症发生率。结果与护理前相比,两组患儿护理后FMA及Barthel评分均升高,观察组护理后与对照组护理后相比上述评分改善更加显著,差异具有统计学意义(P<0.05)。观察组与对照组相比患儿家属护理满意度较高,并发症发生率较低,差异具有统计学意义(P<0.05)。结论在术后常规护理基础上加用以家庭为中心的临床护理方案应用于小儿发育性髋关节脱位术后能够促进改善肢体功能,降低并发症发生率,帮助患儿家属获得更好的护理满意度。

Objective To explore and analyze the effects of family-centered clinical nursing program on the physical rehabilitation of children with developmental hip dislocation.Methods 76 cases of developmental dislocation of hip in children from April 2016 to April 2018 were selected as the study subjects.The patients were divided into control group and observation group with 38 cases in each group by random number table method.The control group received routine nursing after operation.The observation group was given family-centered clinical nursing program.The rehabilitation of limb function,nursing satisfaction of family members and the incidence of complications were compared.Results Compared with before nursing,the scores of FMA and Barthel in the two groups increased after nursing,and the scores in the observation group improved more significantly than those in the control group after nursing(P<0.05).Compared with the control group,the observation group had higher nursing satisfaction and lower incidence of complications(P<0.05).Conclusion The application of family-centered clinical nursing program on the basis of routine nursing after operation in children with developmental dislocation of hip can promote the improvement of limb function,reduce the incidence of complications,and help the families of children to obtain better nursing satisfaction.