“以家庭为中心”儿童肠造口护理模式的实践效果  

Practice of Family-Centered Care model on children's stoma nursing

作　　者：李天红[1] 刘晓文[2] 胡敏[2] 甘红霞[2] 汪淑娟[2] 

机构地区：[1]武汉市妇女儿童医疗保健中心护理部,武汉市430016 [2]武汉市妇女儿童医疗保健中心普外科,武汉市430016

出　　处：《中国护理管理》2015年第3期357-360,共4页Chinese Nursing Management

摘　　要：目的:探讨"以家庭为中心"儿童肠造口护理模式的临床实践。方法:通过对护理人员实施以家庭为中心护理模式的教育培训,实施医护分组同管患儿,建立肠造口家庭照护目标、整体护理实践流程以及工作制度,对52例肠造口患儿实施"以家庭为中心"护理,让家庭参与到医疗护理全过程。结果:52例患儿家庭照顾能力评价均合格,家庭护理期间未出现因造口并发症而返院治疗的情况,造口闭合术前各项化验及检查指标正常,符合手术要求。结论:"以家庭为中心"儿童肠造口护理模式可提升肠造口患儿的生活质量与家庭幸福感,符合家庭对促进儿童健康的需求和当前医疗体制改革的要求。Objective： To explore the practice of Family-Centered Care model on children＇s stoma nursing. Method： Nurses were trained by Family-Centered Care education and were divided into different groups to provide care for the patients with the doctors. Goals of family care were set and holistic nursing procedures and principles were established. Totally 52 children with stomas were cared using the Family-Centered Care model. Family members participated in the whole medical and nursing care process. Results： The capabilities of the 52 families were qualified. None of them returned to the hospital for treatment of complications during family care period. The results of the laboratory tests and examinations were normal and reached the criteria of the second surgeries. Conclusion： Family-Centered Care model on children＇s stoma nursing may increase the quality of life and sense of happiness of the children with stoma. It fits the health needs of Chinese families and the demand of current reform of the health system.

关 键 词：以家庭为中心 儿童 肠造口 护理 

分 类 号：R47[医药卫生—护理学]