风险预控结合精细护理对肠造口手术患儿的影响

Effect of Risk Pre-Control Combined with Meticulous Nursing on Children Undergoing Enterostomy Surgery

目的:探讨风险预控结合精细护理对肠造口手术患儿的影响。方法:选取2019年1月1日~2023年5月31日行肠造口手术治疗的92例患儿纳入研究,按入院时间(实施风险预控结合精细护理前后)分为对照组和研究组各46例,对照组采用常规护理干预,研究组采用风险预控结合精细护理;比较两组患儿造口袋使用情况(造口袋使用时间、造口袋更换间隔时间、造口袋日均护理时间、造口袋护理费用),患儿干预前后造口周围皮肤评估工具(DET)评分,术后康复情况(首次造口排气时间、首次造口排便时间、进食时间、住院时间),患儿并发症发生率,家属干预前后症状自评量表(SCL-90)评分。结果:研究组患儿造口袋使用时间、造口袋更换间隔时间、造口袋日均护理时间、造口袋护理费用及首次造口排气时间、首次造口排便时间、进食时间、住院时间均低于对照组(P<0.05);干预后,两组患儿DET评分及家属SCL-90评分低于干预前(P<0.05),且研究组低于对照组(P<0.05);研究组患儿并发症发生率低于对照组(P<0.05)。结论:风险预控结合精细护理应用于肠造口手术患儿的效果显著,能有效改善造口袋使用情况和周围皮肤情况,缩短肠道恢复时间和住院时间,降低并发症发生率,缓解家属负性情绪。

Objective:To explore the effect of risk pre-control combined with meticulous nursing on children undergoing enterostomy surgery.Methods:A total of 92 pediatric patients who underwent enterostomy surgery from January 1,2019 to May 31,2023 were enrolled as the research objects,and they were divided into control group(46 cases)and study group(46 cases),based on their admission time(before and after implementing risk pre control combined with fine nursing).The control group received routine nursing intervention,while the study group received a combination of risk pre-control combined with meticulous nursing.The use of stomostomy bags(mean use time,replacement interval,daily nursing time and nursing cost of stomostomy bags),scores of peristomy skin function(DET),postoperative recovery(first stomostomy exhaust time,defecation time,eating time,hospitalization time),incidence of complications and psychological state of family members(SCL-9)were compared between the two groups.The use of stomostomy bags(mean usage time,replacement interval,daily nursing time and nursing cost of stomostomy bags),scores of peristomy skin function(DET)before and after intervention,evaluate postoperative recovery(first stoma ventilation time,first stoma defecation time,eating time,hospital stay),incidence of complications,and score on the Symptom Checklist 90(SCL-90)before and after intervention by family members were compared between two groups of pediatric patients.Results:The study group had lower usage time,replacement interval time,daily nursing time,nursing cost,first stoma exhaust time,first stoma defecation time,eating time,and hospital stay compared to those of the control group(P<0.05).After intervention,the DET and SCL-90 scores of the two groups of children and their families were lower than those before intervention(P<0.05),and the scores of the study group was lower than those of the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:The application of risk pre-control combined with meticulous nursing in children undergoing enterostomy surgery has a significant effect,which can effectively improve the use of stomostomy bags and surrounding skin conditions,shorten intestinal recovery time and hospitalization time,reduce the incidence of complications,and alleviate negative emotions in family members.