父母亲情干预联合代币奖励在阑尾炎手术患儿护理中的应用

Application of parental emotional intervention combined with token rewards in the nursing of children undergoing appendectomy

目的探讨父母亲情干预联合代币奖励在阑尾炎手术患儿护理中的应用效果,以期为阑尾炎手术患儿护理方案的选择提供参考。方法选取2022年1月—2023年2月于阜阳市人民医院儿外科接受腹腔镜阑尾炎切除术治疗的104例阑尾炎患儿为研究对象,根据患儿家属自愿原则采用非随机临床同期对照研究,将患儿分为对照组和联合组,每组52例。对照组患儿在围手术期接受常规护理干预,联合组患儿在围手术期接受父母亲情干预联合代币奖励干预。比较2组患儿术后恢复情况、并发症发生情况,以及手术前后治疗配合度和心理状态。结果联合组患儿手术后排气时间、排便时间、恢复肠鸣音时间、下床活动时间、进食时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。联合组患儿术后3个月内并发症发生率为5.77%(3/52),低于对照组的19.23%(10/52),差异有统计学意义(χ2=4.308,P=0.038)。2组患儿术前Fankl治疗依从性量表评分和Houpt行为量表评分比较,差异均无统计学意义(P>0.05);2组患儿术后Fankl治疗依从性量表评分和Houpt行为量表评分均高于术前,且联合组均高于对照组,差异均有统计学意义(P<0.05)。2组患儿术前抑郁自评量表(SDS)和焦虑自评量表(SAS)评分比较,差异均无统计学意义(P>0.05);2组患儿术后SDS和SAS评分均低于术前,且联合组均低于对照组,差异均有统计学意义(P<0.05)。结论对阑尾炎手术患儿给予父母亲情干预联合代币奖励干预,能够促进患儿术后康复,降低并发症发生风险,提高患儿治疗依从性,缓解抑郁及焦虑情绪,值得在临床推广运用。

Objective To explore the effect of parental emotional intervention combined with token rewards in the nursing of children undergoing appendectomy to provide a reference for nursing strategies.Methods A total of 104 children who underwent laparoscopic appendectomy in the Department of Pediatric Surgery at Fuyang People's Hospital from January 2022 to February 2023 were selected.According to the voluntary principle of the children's families,a non-randomized clinical concurrent control study was conducted,assigning the children into a control group and a combined group,with 52 cases in each.The control group received conventional perioperative nursing,while the combined group received parental emotional intervention combined with token rewards during the perioperative period.Postoperative recovery,complication incidence,treatment compliance,and psychological state before and after surgery were compared between the two groups.Results The combined group had a shorter time to first postoperative flatus,time to first defecation,time to first bowel sound,time to ambulation,time to diet,and length of hospital stay than the control group,with statistically significant differences(P<0.05).The incidence of complications within 3 months post-surgery in the combined group was significantly lower than that in the control group[5.77%(3/52)vs.19.23%(10/52);χ2=4.308,P=0.038].No significant differences were found in preoperative Fankl treatment compliance scale scores and Houpt behavior scale scores between the two groups(P>0.05).However,postoperative scores on these scales were higher than preoperative scores in both groups,and higher in the combined group than in the control group,with statistically significant differences(P<0.05).Preoperative self-rating depression scale(SDS)and selfrating anxiety scale(SAS)scores showed no significant differences between the two groups(P>0.05).Postoperative SDS and SAS scores were lower than preoperative scores in both groups,and lower in the combined group than in the control group,with statistically significant differences(P<0.05).Conclusion Parental emotional intervention combined with token rewards can promote postoperative recovery in children undergoing appendectomy,reduce the risk of complications,improve treatment compliance,and alleviate depressive and anxious emotions.This approach holds promise for clinical promotion and application.