小儿扁桃体腺样体肥大实施围手术期安全护理效果分析

Analysis on the effect of perioperative nursing care for children with adenoid hypertrophy of tonsil

目的探究小儿扁桃体腺样体肥大围术期安全护理运用效果及价值。方法选取于我院就诊的小儿扁桃体腺样体肥大手术患儿(n=80)研究,病例纳入时间2021年1月~2022年1月,按照随机数字表法分组,等分为对照组(围术期常规护理)、观察组(围术期安全护理),比较两组指标,如家属满意度、并发症及疼痛程度等。结果①疼痛、焦虑程度:相较于对照组,观察组疼痛(VAS)、焦虑程度(SAS)更低(P<0.05);②家属满意度:观察组比对照组高(P<0.05);③并发症:观察组并发症(喉水肿、出血等)低于对照组(P<0.05)④生活质量:干预后,观察组生理、学习及情感等因子分数,均较对照组高(P<0.05)。结论小儿扁桃体腺样体肥大围术期安全护理运用可减轻术后疼痛,降低心理、生理应激效应,提高生活质量,值得推广。

Objective To explore the effect and value of perioperative safe nursing care in children with tonsillar adenoidal hypertrophy.Methods A total of 80 pediatric patients with adenoid hypertrophy who underwent tonsillectomy in our hospital from January to January 2022 were 2021,the patients were divided into control group(routine perioperative care)and Observation Group(safety perioperative care),and the two groups were compared in terms of indexes,such as family satisfaction,complications and pain.Results 1 the degree of pain and anxiety:compared with the control group,the degree of pain(Vas)and anxiety(SAS)in the observation group was lower(p<0.05),2 the degree of satisfaction of family members:The Observation Group was higher than the control group(p<0.05);3 complications:the complications(laryngeal edema,hemorrhage,etc.)in the observation group were lower than those in the control group(p<0.05).4 quality of life:after intervention,the scores of physiological,learning and emotional factors in the observation group were higher than those in the control group(p<0.05).Conclusion The application of perioperative nursing care for children with tonsillar adenoid hypertrophy can reduce postoperative pain,reduce psychological and physiological stress,improve quality of life,it is worth popularizing.