舒适护理在先天性巨结肠患儿术后的应用  

Utility of comfort care in children with hirschsprung's disease after surgical treatment

作　　者：焦旸[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院血管小儿外科,233004

出　　处：《中华全科医学》2014年第7期1147-1149,共3页Chinese Journal of General Practice

摘　　要：目的研究分析舒适护理应用于先天性巨结肠患儿术后的护理效果及对患儿康复的影响。方法选择血管小儿外科2011年6月—2013年5月收治的先天性巨结肠患儿30例为研究对象,随机分为对照组和观察组各15例,术后对照组采用常规护理方法,观察组则根据护理的整体性和人文性,在常规护理基础上加入舒适护理干预,比较两组患儿住院时间、护理有效率、患儿家长知识掌握度、满意度等方面的差异,评定舒适护理的临床效果。结果观察组患儿家属的知识掌握度达93.33%,满意度高达93.33%,而采用传统护理方法的对照组患儿家属知识掌握度为66.67%,满意度仅为73.33%,且观察组在住院时间方面明显低于对照组,观察组的护理有效率高于对照组(P<0.05),差异有统计学意义。结论将舒适护理应用于先天性巨结肠患儿术后,可使患儿及家属减少生理、心理的应激反应,避免术后并发症,明显提高患儿的生存质量,确保护理安全,提高护理质量,受到家长的欢迎及肯定,在临床上值得推广应用。Objective To research the effects of comfort care in children with Hirschsprung＇s disease（ HSCR） and the impact on the rehabilitation of children. Methods Total 30 children with Hirschsprung＇s disease from June 2011 to May 2013 were enrolled and randomly divided into control group and observation group with 15 cases in each group. The control group was given the conventional nursing,while the observation group was given additional comfort care interventions based on the routine nursing according to the integrity and humanity of care. The hospitalization time,nursing efficiency, knowledge of parents of children,degree of satisfaction was compared between the two groups. Results Knowledge level of the families of the children was 93. 33% in the observation group and 66. 67% in the control group; the degree of satisfaction of patients was 93. 33% in the observation group and 73. 33% in the control group. The duration of hospitalization in the observation group was obviously shorter than that in the control group,and the nursing efficiency in in the observation group was higher than that in the control group,the difference is significant,P〈0. 05. Conclusion The comfort care for children undergoing Hirschsprung＇s disease surgical treatment can reduce the physical and psychological stress of children and their families,decrease the incidence of postoperative complications,improve the quality of life of children significantly and the quality of care,and would be widely applied in clinical practice.

关 键 词：舒适护理 先天性巨结肠患儿 术后 

分 类 号：R473.72[医药卫生—护理学] R726.5[医药卫生—临床医学]