预见性优质护理干预在人工耳蜗微创植入术患者中的应用

Application of predictive quality nursing intervention in patients with minimally invasive cochlear implantation

目的探讨预见性优质护理干预在人工耳蜗微创植入术中的应用效果。方法选取2020年1月—2021年5月医院接受人工耳蜗微创植入术治疗的24例患者为研究对象,采用组间年龄、性别匹配的方法分为观察组和对照组,每组12例。对照组给予常规护理干预,观察组在对照组基础上给予预见性优质护理干预。比较两组手术时间、术中失血量、术中应急处理反应时间、术后疼痛评分、患儿及家属满意度、并发症发生率、言语识别率,听觉行为分级问卷(CAP)、言语可懂度分级(SIR)、听觉整合量表测试(MAIS)评分,并发症发生情况等方面的差异。结果观察组手术时间、术中应急处理反应时间均短于对照组,且术中失血量少于对照组,差异有统计学意义(P<0.05)。观察组术后疼痛评分、患儿及家属满意度优于对照组(P<0.05)。对照组单音节词、双音节词及短句的言语识别率高于对照组(P<0.05)。观察组术后3个月的CAP、SIR及MAIS评分高于对照组(P<0.05)。结论预见性优质护理干预应用于人工耳蜗微创植入术中可加快患者听觉功能恢复,同时降低了术中意外发生风险,减少术中失血量,提高了护理质量。

Objective To explore the eff ect of predictive quality nursing intervention on minimally invasive cochlear implantation.Methods 24 patients admitted in hospital minimally invasive implantation of cochlear implant from January 2020 to May 2021 were selected as the study subjects and divided into observation group and control group by age and sex matching method,with 12 patients in each group.The control group was given routine nursing intervention,and the observation group was given predictive high-quality nursing intervention on the basis of the control group.Compare two groups of operation time,intraoperative blood loss,intraoperative emergency treatment children with reaction time,postoperative pain score,the family member satisfaction,complication rates,speech recognition,categories of Auditory performance questionnaire(CAP),Speech Intelligibility Rate(SIR),Meaningful Auditory Integration Scale(MAIS)score and complications occurrence of differences.Results The operation time and intraoperative emergency treatment reaction time were shorter in the observation group than in the control group and the intraoperative blood loss was less than the control group,the diff erence was statistically signifi cant(P<0.05).The postoperative pain score and satisfaction of children and their families in the observation group were better than the control group(P<0.05).The speech recognition rate of monosyllabic words,dissyllabic words and short sentences in the control group was higher than the control group(P<0.05).CAP,SIR and MAIS scores in the observation group were higher than the control group in 3 months after operation(P<0.05).Conclusion The application of predictive quality nursing intervention in minimally invasive implantation of cochlear implant could accelerate the recovery of auditory function,reduce the risk of intraoperative accidents,reduce intraoperative blood loss and improve the quality of nursing.