基于血栓风险预测模型的预防性护理联合目标循环管理在小儿先天性心脏病术后的应用

Application of Preventive Nursing Based on the Risk Prediction Model for Thrombosis Combined with Target Cyclic Management in Children with Congenital Heart Disease after Operation

目的:探讨基于血栓风险预测模型的预防性护理联合目标循环管理在小儿先天性心脏病术后护理中的应用效果。方法:选取2021年4月1日~2022年4月2日行先天性心脏病手术的98例患儿为研究对象;将2021年4月1日~10月1日49例患儿分为对照组,采用常规护理干预;将2021年10月2日~2022年4月2日49例患儿分为观察组,采用基于血栓预测模型的预防性护理联合目标循环管理护理干预。比较两组患儿临床指标、疼痛情况[采用儿童疼痛评估量表(FLACC)]、并发症、家属负担[采用Zarit照顾者负担量表(ZBI)]及护理满意度。结果:两组手术时间比较差异无统计学意义(P>0.05),观察组卧床时间、住院时间均短于对照组(P<0.05);观察组FLACC评分低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);干预后,两组ZBI评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);观察组患儿家属总满意率高于对照组(P<0.05)。结论:对行先天性心脏病手术患儿采用基于血栓风险预测模型的预防性护理联合目标循环管理干预,可有效缩短患儿住院时间,降低术后并发症发生率,提高护理满意度。

Objective:To explore the application effect of preventive nursing based on the risk prediction model for thrombosis combined with target cyclic management in children with congenital heart disease after operation.Methods:A total of 98 children who underwent operation for congenital heart disease from April 1,2021 to April 2,2022 were selected as the study subjects.Among them,49 children who underwent operation from April 1,2021 to October 1 and received routine nursing intervention after operation were divided into the control group.Another 49 children who underwent operation from October 2,2021 to April 2,2022 and received preventive nursing based on the risk prediction model for thrombosis combined with target cyclic management were divided into the observation group.Clinical indicators,pain degree by Face,Legs,Activity,Cry and Consolability(FLACC),complications,family members′burden by the Zarit Burden Interview(ZBI)and nursing satisfaction were compared between the groups.Results:There was no statistically significant difference in operation time between the two groups(P>0.05).The time in bed and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).The Face,Legs,Activity,Cry and Consolability(FLACC)scale scores in the observation group were significantly lower than those in the control group(P<0.05).The incidence of complications was significantly lower in the ovservation group than that in the control group(P<0.05).After intervention,the ZBI scores in both groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).The total satisfaction rate of family members in the observation group was significantly higher than that in the control group(P<0.05).Conclusion:Application of preventive nursing based on the risk prediction model for thrombosis combined with target cyclic management in children who underwent comgenital heart disease operation can effectively shorten hospital stay,reduce the invidence of postoperative complications and improve the nursing satisfaction.