多站式延续性护理在先天性肛门直肠畸形患儿中的应用

Application of Multi-site Continuous Nursing in Children with Congenital Anorectal Malformation

目的:探讨多站式延续性护理在先天性肛门直肠畸形患儿中的应用效果。方法:选择2018年4月1日~2020年3月31日收治的82例先天性肛门直肠畸形患儿为研究对象,采用信封法分为对照组和观察组名41例,对照组采用常规护理,观察组采用多站式延续性护理模式;比较两组排便功能障碍发生情况、生活质量[及采用世界卫生组织生活质量测量量表(WHOQOL)]及护理满意度,比较两组出院前、出院2个月后排便功能、家属负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果:观察组排便功能障碍发生率低于对照组(P<0.05);出院2个月后,观察组排便功能评分、SAS评分、SDS评分低于对照组(P<0.01);观察组WHOQOL中环境功能、社会功能、生理功能及心理功能得分高于对照组(P<0.01,P<0.05),健康教育、应对措施、护理质量及服务态度满意度得分高于对照组(P<0.01)。结论:多站式延续性护理可有效降低先天性肛门直肠畸形患儿排便功能障碍总发生率,改善排便功能及不良情绪,提高生活质量,提高护理满意度,值得临床推广。

Objective:To explore the application effect of multi-site continuous nursing in children with congenital anorectal malformation.Methods:During April 1,2018 to March 31,2020,82 children with congenital anorectal malformation were selected and divided into the control group and the observation group by the envelope method with 41 children in each group.The control group received conventional nursing,while the observation group received multi-site continuous nursing.The incidence of defecation dysfunction,quality of life by the world health organization quality of life questionnaire(WHOQOL),and nursing satisfaction were compared between the two groups,and defecation function scores and negative emotions by self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups before and 2 months after discharge from hospital.Results:The incidence of defecation dysfunction in the observation group was lower than that in the control group(P<0.05).Two months after discharge,the defecation function scores,SAS scores and SDS scores were lower in the observation group than those in the control group(P<0.01),while the WHOQOL including environment function,social function,physiological function and psychological function scores were higher in the observation group than those in the control group(P<0.01,P<0.05),and health education,counter measures,nursing quality and service satisfaction scores higher in the observation group than those in the control group(P<0.01).Conclusion:Multi-site continuous nursing can effectively reduce the total incidence of defecation dysfunction in children with congenital anorectal malformation,improve their defecation function,negative emotions and quality of life,with high nursing satisfaction,which is worthy of clinical application.