整体性护理路径在先天性腭裂患儿手术护理中的应用

Application of holistic nursing approach to improve facial aesthetics of children with congenital cleft palate

目的:评价整体护理路径在先天性腭裂患儿手术护理中的效果及对患儿面部美容效果的影响。方法:选择2019年1月—2021年11月就诊的先天性腭裂患儿87例,通过盲选法随机分为试验组(44例)和对照组(43例)。对照组实施常规手术室护理,试验组采用整体护理路径。比较2组患儿手术情况、术中生命体征、术后不良反应、患儿家属护理满意度、手术前后语音清晰度、疼痛及面部美观情况。采用SPSS 26.0软件包对数据进行统计学分析。结果:试验组的手术时间、住院天数及术中出血量显著少于对照组(P<0.01);心率和呼吸频率显著低于对照组(P<0.05),血氧饱和度显著高于对照组(P<0.05);试验组面部美观及家属对护理工作总体满意度显著优于对照组(P<0.05)。2组术后语音清晰度与术前比较显著提高(P<0.05),试验组显著高于对照组(P<0.05)。2组术后48 h疼痛评分与术后6 h比较显著降低(P<0.05),试验组显著低于对照组(P<0.05)。结论:对先天性腭裂患儿采用整体性护理路径,能改善患儿面部美观,维持患儿生命体征稳定,减轻术后不良反应及疼痛,提高患儿语音清晰度及家属对护理的满意度。

PURPOSE:To evaluate the effect of holistic nursing approach in surgical nursing of children with congenital cleft palate malformation and its influence on facial aesthetics.METHODS:Eighty-seven children with congenital cleft palate from January 2019 to November 2021 were selected and randomly divided into the experimental group(n=44)and control group(n=43)by blind selection.The control group received routine operating room nursing,while the experimental group received holistic nursing.The operation situation,intraoperative vital signs,postoperative adverse reactions,nursing satisfaction of children's parents,speech intelligibility before and after operation,pain and facial aesthetics were compared between the two groups.SPSS 26.0 software package was used for statistical analysis.RESULTS:The operation time,hospital stay and intraoperative bleeding in the experimental group were significantly less than those in the control group(P<0.01).The heart rate and respiratory rate of the experimental group were significantly lower than those of the control group(P<0.05),and the oxygen saturation of the experimental group was significantly higher than that of the control group(P<0.05).The overall satisfaction of nursing work and facial aesthetics of family members of children in the experimental group were beter than those in the control group(P<0.05).The speech intelligibility of the two groups afer operation was significantly higher than that before operation(P<0.05),and the speech intelligibility of the experimental group was significantly higher than that of the control group(P<0.05).The pain score of the two groups 48 hours after operation was significantly lower than that 6 hours after operation(P<0.05),and the pain score of the experimental group was significantly lower than that of the control group(P<0.05).CONCLUSIONS:The holistic nursing path for children with congenital cleft palate can improve facial aesthetics of children,maintain the stability of vital signs,reduce postoperative adverse reactions and pain,and improve speech clarity of children and nursing satisfaction of family members.