简化版口面肌功能训练在儿童腺扁桃体切除术后应用效果分析

Effect analysis of simplified facial muscle function training in children after adenotonsillectomy

目的:探讨简化版口面肌功能训练在儿童腺扁桃体切除术后应用效果。方法:随机选取2020年行腺扁桃体切除术的26例患儿为观察组,2019年行腺扁桃体术的30例患儿为对照组。对照组采取常规护理干预,观察组采取简化版口面肌功能训练干预,观察简化版口面肌功能训练依从性,并比较2组儿童干预前后各时间点阻塞性睡眠障碍问卷(OSA-18)总分及各维度得分情况。结果:观察组依从性较差者有8例(26.9%),依从性较好者有18例(73.1%)。2组儿童OSA-18总分及各维度得分在出院后3个月和6个月均高于手术前(P<0.05~P<0.01),且观察组在总分、睡眠障碍、身体症状和白天功能维度得分均呈现递减趋势(P<0.01);干预前2组OSA-18总分和各维度得分比较差异均无统计学意义(P>0.05),出院后3个月,睡眠障碍、身体症状和对照顾者影响维度,观察组得分均低于对照组(P<0.05~P<0.01),而情绪不佳和白天功能维度,2组差异无统计学意义(P>0.05);出院后6个月,除白天功能维度2组比较差异无统计学意义(P>0.05),其余维度观察组得分均低于对照组(P<0.05~P<0.01)。结论:简化版口面肌功能训练能够改善儿童腺扁桃体术切除术后睡眠障碍、身体症状和情绪问题,值得在临床护理干预中推广应用。

Objective:To evaluate the effects of simplified facial muscle function training in children after adenotonsillectomy.Methods:A total of 26 children treated with adenotonsillectomy in 2020 were randomly selected as the observation group,and 30 children treated with adenotonsillectomy in 2019 were selected as the control group.The control group received the conventional nursing intervention,and the observation group received simplified facial muscle function training intervention.The compliance of simplified facial muscle function training was observed,and the total score and score of each dimension of obstructive sleep disorder questionnaire(OSA-18)before and after the intervention were compared between two groups.Results:In the observation group,8 patients(26.9%)had poor compliance,and 18 patients(73.1%)had good compliance.The total score of OSA-18 and scores of all dimensions in two groups at 3 and 6 months after discharge were higher than those before operation(P<0.05 to P<0.01),and there was a decreasing trend in the total score,sleep disturbance,physical symptoms and daytime function in the observation group(P<0.05).There was no statistical significance in the total score of OSA-18 and scores of each dimension between two groups before intervention(P>0.05).After 3 months of discharge,the scores of sleep disturbance,physical symptoms and effects on caregivers in observation group were lower than those in control group(P<0.05 to P<0.01),while there was no statistical significance in the dimension scores of depressed mood and daytime function between the two groups(P>0.05).At 6 months after discharge,there was no statistical significance in other dimension scores between two groups except for daytime function(P>0.05),and the scores of other dimensions in observation group were lower than those in control group(P<0.05 to P<0.01).Conclusions:The simplified facial muscle function training can improve sleep disturbance,physical symptoms and emotional problems in children after adenotonsillectomy,which is worthy of popularization and application in clinical nursing intervention.