舒适护理对日间手术患儿及其父母的影响

Eff ect of comfort care on children undergoing day surgery and their parents

目的探讨舒适护理对减少日间手术患儿父母焦虑、抑郁情绪及提高患儿护理依从性的影响。方法选取2022年4-12月收治的105例日间手术患儿及其父母作为研究对象,将2022年4-7月治疗的患儿52例作为对照组,接受常规护理;2022年8-12月治疗的患儿53例作为观察组,接受舒适护理干预,比较两组患儿父母心理状态中汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分,患儿舒适状况量表(GCQ)评分,患儿父母疾病知识掌握状况,患儿治疗依从程度,患儿父母护理满意程度等。结果干预前,两组患儿家长HAMA评分、HAMD评分以及患儿GCQ评分比较差异无统计学意义(P>0.05);干预后,观察组患儿家长HAMA评分、HAMD评分低于对照组,患儿GCQ评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组患儿家长并发症掌握、药物依从、情绪管理、功能锻炼、饮食管理评分高于对照组患儿家长,差异有统计学意义(P<0.05);观察组患儿治疗依从程度高于对照组,差异有统计学意义(P<0.05);观察组患儿家长护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论舒适护理干预应用于日间手术患儿围术期中,不仅可以减少患儿父母焦虑、抑郁情绪,还可以提高其护理满意程度及疾病知识掌握度,并有效提高患儿治疗依从程度,保障手术顺利实施。

Objective To explore the effect of comfort care on reducing anxiety and depression in parents of children undergoing day surgery and improving the children's adherence to care.Methods A total of 105 children undergoing day surgery and their parents,admitted from April to December 2022,were selected as study subjects.The 52 children treated from April to July 2022 were assigned to the control group and received routine care.The 53 children treated from August to December 2022 were assigned to the observation group and received comfort care intervention.The study compared the following between the two groups:the Hamilton Anxiety Scale(HAMA)score and Hamilton Depression Scale(HAMD)score for parents'psychological state,the General Comfort Questionnaire(GCQ)score of the children,parents'knowledge of the disease,children's adherence to treatment,parents'satisfaction with the care and so on.Results Before intervention,there was no statistically significant diff erence in HAMA and HAMD scores of parents and GCQ scores of children between the two groups(P>0.05).After the intervention,the HAMA and HAMD scores of parents in the observation group were lower than those of in the control group,the differences were statistically significant(P<0.05);the GCQ score of children in the observation group was higher than that in the control group,the diff erence was statistically signifi cant(P<0.05).After the intervention,the parents of the children in the observation group had higher scores than those in the control group in terms of understanding of complications,medication adherence,emotional management,functional exercise,and dietary management,the diff erences were statistically signifi cant(P<0.05);treatment compliance degree of children in the observation group was higher than that in the control group,the diff erence was statistically signifi cant(P<0.05);nursing satisfaction of parents in the observation group was higher than that in the control group,the diff erence was statistically signifi cant(P<0.05).Conclusion The application of comfort care intervention in the perioperative period for children undergoing day surgery can not only reduce the anxiety and depression of the children's parents,but also improve their satisfaction with care and knowledge of the disease.Additionally,it eff ectively improves children's adherence to treatment,ensuring the smooth implementation of the operation.