医院-家庭协同护理模式对后尿道断裂术患儿及其家属的影响

Effect of hospital-family cooperative nursing model on postoperative rehabilitation and nursing ability of children with posterior urethral rupture

目的:探讨医院-家庭协同护理模式(CCM)在小儿后尿道断裂术后康复中的作用,及对患儿家属护理能力的影响。方法:前瞻性地选取2015年1月至2019年1月住院行后尿道断裂重建术的72例患儿作为研究对象,按照随机数字表法分为对照组和观察组各36例,对照组实施常规护理,观察组施行医院-家庭CCM;分析2组患儿术后疼痛及预后并发症发生情况,比较2组患儿家属干预前后心理状态及护理能力。结果:观察组患儿术后12 h、术后1 d、术后2 d疼痛数字评分法(NRS)评分分别为(5.89±0.71)、(4.50±0.51)、(2.42±0.50)分,对照组患儿分别为(6.92±0.87)、(5.89±0.85)、(4.31±0.47)分,2组差异有统计学意义(t值为5.23、8.904、16.525,P<0.05);且观察组患儿并发症总发生率为5.56%(2/36),对照组患儿为22.22%(8/36),2组差异有统计学意义(χ^2值为4.181,P<0.05)。干预后观察组患儿家属的焦虑自评量表(SAS)、抑郁自评量表(SDS)、照顾者照顾能力测量表(FCTI)评分分别为(34.6±5.36)、(31.67±6.11)、(8.65±2.40)分,对照组患儿家属分别为(41.09±6.44)、(39.64±7.31)、(11.64±3.10)分,2组评分差异有统计学意义(t值为4.647、5.019、4.576,P<0.05)。结论:医院-家庭协同护理模式可有效促进后尿道断裂术患儿康复,并提高患儿家属护理能力。

Objective To explore the effect of hospital-family CCM on postoperative rehabilitation of children with posterior urethral rupture and its effect on the nursing ability of children′s family members.Methods Forward-looking selection between January 2015 and January 2019 in our hospital 72 cases of traumatic posterior urethral disruption of children as the research object,the random number table method were randomly divided into 2 groups.The control group(n=36)was implemented routine nursing,observation group(n=36)was given hospital-family CCM.The prognosis of postoperative pain and complications of two groups,children′s family psychological status before and after the intervention and nursing ability were compared.Results Compared with the control group,the scores of Numerical Rating Scale(NRS)of 12h after the operation,1d after the operation and 2d after the operation respectively 5.89±0.71,4.50±0.51,2.42±0.50,all of which were significantly lower than those of the control group 6.92±0.87,5.89±0.85,4.31±0.47,with statistically significant differences(t values were 5.23,8.904,16.525,P<0.05).The total incidence of complications in the observation group was 5.56%(2/36),significantly less than 22.22%(8/36)of the control group with statistical significance difference(χ^2 value was 4.181,P<0.05).The scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Family Caregiver Task Inventory(FCTI)in the families of children of the observtion group were 34.6±5.36,31.67±6.11,8.65±2.40 after the intervention,significantly lower than the control group(41.09±6.44,39.64±7.31,11.64±3.10)with statistical difference(t values were 4.647,5.019,4.576,P<0.05).Conclusions The hospital-family CCM can effectively promote the rehabilitation of children undergoing posterior urethral rupture and improve the nursing ability of their families.