集束化护理在低龄低体重室间隔缺损患儿微创封堵术围术期中的应用观察

Observation on the application of clustering nursing in perioperative period of minimally invasive occlusion in the children patients with low-age and low-weight ventricular septal defect

目的探讨集束化护理干预在低龄低体重室间隔缺损患儿微创手术围术期中的应用效果。方法选择本院2016年1月~2018年12月施行微创封堵术治疗的60例低龄低体重室间隔缺损患儿开展前瞻性研究,按照随机数字表法分为对照组与观察组各30例,对照组施行常规围术期护理干预,观察组施行集束化护理干预,比较患儿术后并发症发生率、术后治疗时间,并比较家属疾病不确定感评分、负性情绪评分、护理满意度。结果观察组患儿的术后并发症总发生率较对照组更低(P<0.05),其术后ICU监护时间、术后住院时间均较对照组缩短(P<0.05)。护理后,观察组家属的疾病不确定感评分、SAS评分、SDS评分均较对照组更低(P<0.05),其护理总满意率较对照组更高(P<0.05)。结论集束化护理干预可减少低龄低体重室间隔缺损患儿微创封堵术后的并发症,使患儿顺利度过手术危险期,还可减轻患儿家属的疾病不确定感和负性情绪,提高其护理满意度。

Objective To investigate the application effect of clustering nursing intervention on perioperative period of minimally invasive surgery in the children patients with low-age and low-weight ventricular septal defect.Methods A prospective study was conducted in 60 children with low-age and low-weight ventricular septal defect who were given minimally invasive occlusion surgery in our hospital from January 2016 to December 2018.According to the random number table method,they were divided into control group and observation group,with 30 cases in each group.The control group was given routine perioperative nursing intervention.The observation group was given clustering nursing intervention.The incidence rate of postoperative complications and postoperative treatment time were compared between patients,and the family disease uncertainty score,negative emotion score,and nursing satisfaction were compared.Results The total incidence rate of postoperative complications in the observation group was lower than that in the control group(P<0.05).The postoperative ICU monitoring time and postoperative length of hospital stay were shorter than those in the control group(P<0.05).After the nursing,the disease uncertainty score of the family members,SAS score and SDS score in the observation group were lower than those in the control group(P<0.05).The overall satisfaction rate of nursing was higher than that in the control group(P<0.05).Conclusion Clustering nursing intervention can reduce the complications after minimally invasive occlusion in children with low-age and low-weight ventricular septal defect,so that the children patients can successfully pass the risk period of surgery.It can also alleviate the disease uncertainty and negative emotions of the family members and improve their nursing satisfaction.