综合性“转换”护理对肝移植患儿术后生活质量及并发症的影响

Effect of Comprehensive"Conversion"Nursing on Quality of Life and Complications After Liver Transplantation in Children

目的研究综合性“转换”护理对肝移植患儿术后生活质量及并发症的影响。方法以2022年1月-6月于天津市第一中心医院行肝移植术的60例患儿为研究对象,依据随机数字表法分为对照组与观察组,各30例。对照组给予常规随访护理,观察组在其基础上应用综合性“转换”护理,比较两组患儿服药依从性[Morisky用药依从性问卷(MMAS-8)]、术后生活质量[儿童生活质量量表移植模块(PedsQLTM 3.0)]、负面情绪[儿童抑郁量表(CDI)]、并发症发生情况、家长满意度。结果观察组服药依从优良率为86.67%,高于对照组的63.33%(P<0.05);两组护理后PedsQLTM 3.0评分高于护理前,CDI评分低于护理前,且观察组PedsQLTM 3.0评分高于对照组,CDI评分低于对照组(P<0.05);观察组术后并发症发生率小于对照组(P<0.05);观察组家长满意度高于对照组(P<0.05)。结论综合性“转换”护理可提高肝移植患儿的服药依从性,改善其术后生活质量及负面情绪,有助于降低患儿的术后并发症风险,且可提升家长满意度。

Objective To study the effect of comprehensive"conversion"nursing on the quality of life and complications of children after liver transplantation.Methods A total of 60 children who underwent liver transplantation in Tianjin First Central Hospital from January to June 2022 were divided into control group and observation group according to random number table method,with 30 children in each group.The control group was given routine follow-up nursing,and the observation group was given comprehensive"conversion"nursing on the basis of routine follow-up nursing.The medication compliance[Morisky Medication Compliance Questionnaire(MMAS-8)],postoperative quality of life[the Pediatric Quality Of Life InventoryTM(PedsQLTM 3.0)],negative emotions[Children's Depression Inventory(CDI)],complications and parents'satisfaction were compared between the two groups.Results The excellent and good rate of medication compliance in the observation group was 86.67%,which was higher than 63.33%in the control group(P<0.05).The PedsQLTM 3.0 score of the two groups after nursing was higher than that before nursing,the CDI score was lower than that before nursing,and the PedsQLTM 3.0 score of the observation group was higher than that of the control group,the CDI score was lower than that of the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The satisfaction of parents in the observation group was higher than that in the control group(P<0.05).Conclusion Comprehensive"conversion"nursing can improve the compliance of children with liver transplantation,improve their quality of life and negative emotions after operation,and help to reduce the risk of postoperative complications of children,improve parents'satisfaction.