专科化游戏结合"双心"护理对尿道下裂患儿术后并发症及照顾者情绪的影响研究

Effects of specialized games combined with bi-cardiac nursing on postoperative complications and caregivers′emotions in children with hypospadias

目的:探讨专科化游戏结合"双心"护理对尿道下裂症患儿术后并发症及照顾者情绪的影响。方法:选2018年1—12月住院治疗的100例尿道下裂症患儿为研究对象,按照随机数字表法随机分成对照组和研究组,各50例,对照组给予常规治疗及护理,研究组采取专科化游戏结合"双心"护理干预,比较2组患儿术后并发症的发生率,并应用焦虑自评量表(SAS)、抑郁自评量表(SDS)分别于干预前及干预3个月后对2组患儿的主要照顾者进行测试,同时,在干预后对其满意度进行比较。结果:研究组患儿并发症发生率为10.00%(5/50),对照组为28.00%(14/50),2组比较差异有统计学意义(χ^2值为5.263,P值为0.022);干预后,研究组患儿照顾者SAS、SDS量表评分分别为(23.35±7.33)、(37.06±8.22)分,对照组分别为(32.22±6.70)、(40.94±8.95)分,2组比较差异有统计学意义(t值为6.316、2.258,均P<0.05);干预后,研究组满意度为96.00%(48/50),对照组为84.00%(42/50),2组比较差异有统计学意义(χ^2值为4.000,P值为0.046)。结论:专科化游戏结合双心护理可以降低尿道下裂患儿尿道成形术后并发症的发生,改善主要照顾者的不良情绪,提高护理满意度。

Objective To explore the effect of specialized games combined with bi-cardiac nursing on postoperative complications and caregivers′emotions in children with hypospadias.Methods A total of 100 children with hypospadias treated in our hospital from January 2018 to December 2018 were randomly divided into control group and experimental group,50 cases in each group.The control group was given routine treatment and nursing.The experimental group was given specialized games combined with bi-cardiac nursing intervention.The incidence of complications after operation was compared between the two groups.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to test the main caregivers of the two groups before and after the intervention for 3 months respectively.At the same time,their satisfaction was compared after the intervention.Results The incidence of complications was 10.00%(5/50)in the study group and 28.00%(14/50)in the control group,the difference between the two groups was statistically significant(χ^2 value was 5.263,P=0.022);after intervention,the scores of SAS and SDS of the caregivers in the study group were 23.35±7.33,37.06±8.22 respectively,and those in the control group were 32.22±6.70,40.94±8.95,the difference between the two groups was statistically significant(t values were 6.316,2.258,all P<0.05);after the intervention,the satisfaction of the study group was 96.00%(48/50),and that of the control group was 84.00%(42/50).The difference between the two groups was statistically significant(χ^2 value was 4.000,P=0.046).Conclusions Specialized games combined with bi-centric nursing can reduce the incidence of complications after urethroplasty in children with hypospadias,alleviate the bad mood of the main caregivers and improve nursing satisfaction.