护理体检评估在小儿漏斗胸手术体位护理中的应用  

Application of Nursing Assessment in the Nursing of Patients With Funnel Chest Surgery

作　　者：沈媛[1] 杨贵红[1] 邓芳[1] 

机构地区：[1]湖南省儿童医院心胸外科,湖南长沙410007

出　　处：《继续医学教育》2015年第12期115-116,共2页Continuing Medical Education

摘　　要：目的探讨护理体检评估在小儿漏斗胸手术体位护理中的应用。方法 2012年10月~2014年10月选取60例小儿漏斗胸手术患者为研究对象,根据随机数字表将患者分为观察组及对照组各30例,对照组术中行常规性护理,观察组术中对患儿身体进行充分评估后实施体位干预,对比分析两组患儿手术时间、术前焦虑、手术成功率、手术配合率、并发症、家属满意率、护患纠纷事件发生情况、术后卧床时间、术后疼痛评分、平均住院时间。结果观察组患儿手术配合率、成功率、家属满意率高于对照组（P〈0.05）,而并发症发生率、护患纠纷事件发生率低于对照组（P〈0.05）。观察组手术时间、术后卧床时间、平均住院时间少于对照组（P〈0.05）,而疼痛评分高于对照组（P〈0.05）。结论通过护理体检评估可有效提高小儿漏斗胸手术体位护理的安全性、预见性及有效性,有利于患儿预后。Objective To investigate the application in pediatric care and medical assessment of pectus excavatum surgery posture nursing. Methods 60 patients with pectus excavatum surgery pediatric patients were chosen for the study from October 2012 to October 2014, based on a random number table were divided into observation group and control group of 30 patients in the control group routine intraoperative care, observation group intraoperative assessment of children with full body posture after the implementation of the intervention, comparative analysis of the two groups of children with operation time, preoperative anxiety, surgical success rate, with the rate of surgical complications, family satisfaction rate, nursing disputes incident cases, surgery after bed time, postoperative pain scores, the average length of stay. Results The rate of children with surgical patients in the observation group, the success rate was significantly higher family satisfaction rate（P0.05）, whereas the incidence of complications, nursing disputes event rate was significantly lower than the control group（P0.05）. Observation operative time, postoperative bed time, the average length of stay less than the control group（P0.05）, while the pain score was higher（P0.05）. Conclusion The medical assessment by nursing effectively improve security, predictability and effectiveness in children with pectus excavatum surgery postural care, help children with prognosis.

关 键 词：护理体检 小儿漏斗胸 体位护理 

分 类 号：R473[医药卫生—护理学]