优化干预模式对小儿肾母细胞瘤术后恢复的影响

Effect of optimizing intervention mode on postoperative recovery of pediatric nephroblastoma

目的探讨优化干预模式对小儿肾母细胞瘤术后恢复的影响。方法采用随机数字表法将30例肾母细胞瘤患儿分为对照组和观察组,每组15例,对照组患儿给予常规护理干预,观察组患儿给予优化干预。比较两组患儿的疼痛程度[视觉模拟评分法(VAS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、依从性、护理满意度和住院时间,并比较两组患儿家属负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]。结果术后1、2、3天,观察组患儿的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患儿家属SAS、SDS评分均低于本组干预前,且观察组患儿家属SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患儿PSQI评分低于对照组,护理满意度评分高于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组患儿的总依从率为93.33%,高于对照组患儿的53.33%,差异有统计学意义(P<0.05)。结论小儿肾母细胞瘤围手术期予以优化干预措施,能够提高患儿依从性,术后疼痛控制更为理想,有助于改善患儿睡眠质量,促进术后恢复,缩短住院时间,提高护理满意度,缓解家属负性情绪。

Objective To explore the impact of optimizing intervention mode on postoperative recovery of pediatric nephroblastoma.Method A total of 30 children with nephroblastoma were enrolled and randomly divided into control group(n=15,received routine nursing)and observation group(n=15,received optimizing intervention)by random number table method.The pain degree[visual analogue scale(VAS)],sleep quality[Pittsburgh sleep quality index(PSQI)],compliance,nursing satisfaction,hospital stay,and negative emotion of family members[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]in both groups were compared.Result On the 1,2,and 3 days after surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the SAS and SDS scores of the family members of the two groups were lower than those before the intervention,and the SAS and SDS scores of the observation group’s family members were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the PSQI score of the observation group was lower than that of the control group,and the nursing satisfaction score was higher than that of the control group,the hospitalization time was shorter than that of the control group,and the differences were statistically significant(P<0.05).The total compliance rate of the observation group was 93.33%,which was higher than 53.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion Optimizing intervention mode during the perioperative period for pediatric nephroblastoma can improve patient compliance,provide more ideal postoperative pain control,improve sleep quality,promote postoperative recovery,shorten hospital stay,improve nursing satisfaction,and alleviate negative emotion among family members.