基于三维质量评价模式的延续护理在肠造口患儿中的应用效果

Application effects of continuous nursing of three-dimensional quality evaluation model in children with enterostomy

目的:观察基于三维质量评价模式的延续护理在肠造口患儿中的应用效果。方法:选取2019年11月至2020年10月该院收治的70例肠造口患儿进行前瞻性研究,按照随机数字表法分为观察组与对照组各35例。对照组给予常规护理,观察组在对照组基础上给予基于三维质量评价模式的延续护理,比较两组出院后更换造口袋用时和更换造口袋间隔时间、并发症发生率和患儿家长造口护理知识评分。结果:出院后,观察组更换造口袋用时短于对照组,更换造口袋间隔时间长于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组周围皮炎发生率为5.71%,低于对照组的28.57%,差异有统计学意义(P<0.05);两组造口回缩、脱垂、旁疝、出血、水肿、梗阻和狭窄等并发症发生率比较,差异无统计学意义(P>0.05)。出院后3个月,两组患儿家长造口护理知识评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于三维质量评价模式的延续护理可缩短肠造口患儿更换造口袋用时,延长更换造口袋间隔时间,降低周围皮炎发生率,提高患儿家长造口护理知识评分,效果优于单纯常规护理。

Objective:To observe application effect of continuous nursing of three-dimensional quality evaluation model in children with enterostomy.Methods:A prospective study was conducted on 70 children with enterostomy admitted to the hospital from November 2019 to October 2020.They were divided into observation group and control group according to the random number table method,35 cases in each.The control group was given routine nursing,while the observation group was given the continuous nursing of three-dimensional quality evaluation model on the basis of that of the control group.The time of replacing the ostomy bag and the interval between replacing the ostomy bags,the incidence of complications,and the scores of ostomy nursing knowledge of the parents were compared between the two groups after discharge.Results:After discharge,the time of replacing the ostomy bag in the observation group was shorter than that in the control group,the interval time of replacing the ostomy bags was longer than that in the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the incidence of peripheral dermatitis in the observation group was 5.71%,which was significantly lower than 28.57%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications such as ostomy retraction,prolapse,parahernia,bleeding,edema,obstruction and stenosis between the two groups(P>0.05).3 months after discharge,the scores of stoma nursing knowledge of the parents in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the continuous nursing of three-dimensional quality evaluation model can shorten the time of changing the ostomy bag,prolong the interval of changing the ostomy bags,reduce the incidence of peripheral dermatitis,and improve the scores of ostomy nursing knowledge of the parents.Moreover,it is superior to single routine nursing.