以家庭为中心护理模式在造口患儿中的应用研究  

Family-centered nursing care model in children with colostomy

作　　者：卞荆晶[1] 朱丹[1] 胡露红[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院小儿外科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院甲乳外科,湖北武汉430030

出　　处：《护理学杂志》2014年第16期4-6,共3页

基　　金：华中科技大学同济医学院附属同济医院2010年临床新技术;新业务基金(2010035)

摘　　要：目的探讨以家庭为中心护理模式在造口患儿护理中的应用效果。方法将67例肠造口患儿按时间段分为对照组(34例)和观察组(33例),对照组按照常规方法护理,观察组采取以家庭为中心护理模式,包括心理护理和人文关怀,鼓励照护者参与全程护理,多途径的健康教育,建立出院指导标准。比较两组患儿术后住院时间,造口周围皮肤情况,以及家庭造口护理能力。结果观察组术后住院时间显著短于对照组(P<0.01),造口周围皮肤情况显著优于对照组(P<0.01),家庭造口护理能力4个维度及总分显著高于对照组(P<0.05,P<0.01)。结论以家庭为中心护理模式可有效改善患儿造口周围皮肤问题,缩短患儿术后住院时间,提高家庭造口护理能力。Objective To explore the effect of family-centered nursing care model in children with colostomy.Methods Totally,67 patients with intestinal colostomy were randomized into 2 groups,with the control group of 34 cases and the observation group of 33 ones.The control group were given conventional nursing,while the observation group were given nursing care according to the family-centered model,including psychological nursing,humanistic care,parents＇ participation,health education in various ways and establishing standards for discharge guidance.The postoperative hospitalization days,colostomy surrounding skin and home care ability of the two groups were compared.Results The postoperative hospitalization days of the observation group were less than the control group （P〈0.01）,while the colostomy surrounding skin situation of the former was better than the latter（P〈 0.01）.What＇s more,the observation group had higher scores in the 4 dimensions and total scores of family nursing ability than the control group（P〈 0.05,P〈 0.01）.Conclusion Family-centered nursing model can improve the colostomy surrounding skin,shorten the postoperative hospitalization days and improve family colostomy nursing ability.

关 键 词：肠造瘘术 肠造口 以家庭为中心护理 照护者 信息分享 人文关怀 

分 类 号：R473.6[医药卫生—护理学] R726[医药卫生—临床医学]