互动式护理模式在阻塞性睡眠呼吸暂停低通气综合征手术患儿中的应用效果  

Interactive nursing model in children with OSAHS surgery effect

作　　者：方贵俊 李华群 Fang Guijun;Li Huaqun(Xiangyang Central Hospital Pediatric PICU, Xiangyang 441000, China)

机构地区：[1]湖北省襄阳市中心医院儿科PICU,441000

出　　处：《中国实用护理杂志》2018年第20期1561-1564,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨互动式护理模式在阻塞性睡眠呼吸暂停低通气综合征（OSAHS）手术患儿中的应用效果。方法将2015年7月至2017年8月湖北省襄阳市中心医院儿科PICU收治的OSAHS手术患儿110例作为研究对象，按照随机数字表法分为对照组和观察组各55例。对照组行常规护理，观察组行互动式护理模式。比较2组护理前后焦虑情绪、疼痛程度、治疗依从性和护理满意度情况。结果观察组术前1d、入手术室前、术后24h焦虑评分分别为（45．01±5．22）、（50．26±5．44）、（48．37±5．21）分，对照组分别为（48．87±5．79）、（56．28±6．03）、（51．46±5．28）分，差异有统计学意义（t=3．672、5．497、3．089，P〈0．05）；观察组术后6、24h的疼痛评分分别为（4．65±0．78）、（2．82±0．51）分，对照组分别为（5．14±0．73）、（3．43±0．57）分，差异有统计学意义（t=3．402、5．915，P〈0．05）；观察组围手术期治疗依从性、护理满意度分别为94．55％（52／55）、96．36％（53/55），对照组分别为74．55％（41／55）、72．73％（40／55），差异有统计学意义（r=8．419、11.758，P〈0．05）。结论互动式护理模式应用于OsAHs手术患儿可明显缓解焦虑睛绪，减轻术后疼痛，提高治疗依从『生和护理满意度，值得推广。Objective To explore the application of interactive nursing model in children with obstructive sleep apnea-hypopnea syndrome （OSAHS）. Methods From July 2015 to August 2017, 110 children with OSAHS admitted to our hospital were enrolled in this study. The patients were divided into two groups （55 cases） according to the digital random table method. Control group routine care, observation group interactive nursing model. Anxiety, pain, treatment compliance and nursing satisfaction were compared between the two groups before and after treatment. Results The scores of anxiety before operation and at 24h after operation in observation group were （45.01±5.22） points, （50.26± 5.44） points and （48.37±5.21） points respectively before operation and （48.87±5.79） points, （56.28±6.03） points and （51.46±5.28） points respectively, the difference was statistically significant （t = 3.672, 5.497, 3.089, P 〈0.05）. The VAS scores of the observation group at 6h and 24h after operation were （4.65±0.78）, （2.82±0.51） points in the control group and （5.14±0.73） points and （3.43±0.57） points in the control group （t = 3.402, 5.915, P〈0.05） The treatment compliance and nursing satisfaction were 94.55%（52/55） and 96.36% （53/55） respectively, while those in the control group were 74.55%（41/55） and 72.73%（40/55）, respectively. The difference was statistically significant （X2=8.419, 11.758, P〈0.05）. Conclusions The interactive nursing model applied to children with OSAHS surgery can relieve anxiety, relieve postoperative pain, improve treatment compliance and satisfaction with nursing, which is worthy of poptdarization.

关 键 词：围手术期 焦虑 疼痛 互动式护理模式 阻塞性睡眠呼吸暂停低通气综合征 依从性 

分 类 号：R473.76[医药卫生—护理学]