医护一体化预见性护理在癫痫患儿迷走神经刺激术围手术期中的应用

Effects of predictive nursing combined with integrated medical and care in perioperative period of vagal nerve stimulation for children with epilepsy

目的探讨医护一体化预见性护理在癫痫患儿迷走神经刺激术(VNS)围手术期中的应用效果。方法采用便利抽样法, 于2022年1-6月选取在应急总医院神经外科接受VNS治疗的63例癫痫患儿为研究对象, 按照随机数字表法分为对照组(n=31)和观察组(n=32), 对照组采用常规护理模式, 观察组在对照组基础上采用医护一体化预见性护理模式。观察两组患儿术后并发症, 患儿家属赋能水平、护理满意度。结果两组患儿术后并发症发生情况比较, 差异无统计学意义(P>0.05)。出院前, 观察组患儿家属护理满意度评分高于对照组, 差异有统计学意义(P<0.01);观察组患儿家属赋能水平高于对照组, 差异有统计学意义(P<0.01)。结论医护一体化预见性护理应用于癫痫患儿VNS围手术期, 可提高患儿家属护理满意度及赋能水平, 具有良好的应用价值。

Objective To explore the effects of predictive nursing combined with integrated medical and care in the perioperative period of vagal nerve stimulation(VNS)for children with epilepsy.Methods From January to June 2022,63 children with epilepsy who received VNS in the Neurosurgery Department of the Emergency General Hospital were selected as the study subject by convenience sampling.According to the random number table method,the children were divided into a control group(n=31)and an observation group(n=32).The control group adopted conventional nursing,while the observation group adopted a predictive nursing combined with integrated medical and care on the basis of the control group.We observed the postoperative complications,empowerment of family members of children,and nursing satisfaction in both groups.ResultsThere was no statistically significant difference in the incidence of postoperative complications between the two groups of children(P>0.05).Before discharge,the nursing satisfaction score of the family members of the observation group was higher than that of the control group,with a statistically significant difference(P<0.01).The empowerment of the family members of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.01).Conclusions The predictive nursing combined with integrated medical and care in the perioperative period of VNS for epileptic children can improve the nursing satisfaction and empowerment of family members of children,and it is valuable for application.