Ahmadi延续性护理模式在肠造口新生儿父母心理健康中的应用  

Effect of Ahmadi-based continuous nursing model on improvement of mental health of colostomy children and their parents

作　　者：阳惠[1] 徐晓丽[1] 何秀云[1] 印真香 颜小娟[1] 唐玲艳[1] 胡莎[1] Yang Hui;Xu Xiaoli;He Xiuyun;Yin Zhenxiang;Yan Xiaojuan;Tang Lingyan;Hu Sha(Department of Fetal and Neonatal Surgery, Hunan Children's Hospital, Changsha, 410007, China)

机构地区：[1]湖南省儿童医院胎儿与新生儿外科

出　　处：《现代临床护理》2019年第3期40-45,共6页Modern Clinical Nursing

摘　　要：目的探讨Ahmadi延续性护理模式对肠造口新生儿父母心理健康的应用效果。方法选择2017年8月至2018年10月在湖南省儿童医院接受肠造口手术的60例患儿及父母作为研究对象,采用随机数字表法将其分为研究组和对照组,每组各30例。随访期间研究组退出1例,对照组退出2例,最终完成57例。对照组患者给予常规护理,研究组患者实施Ahmadi延续性护理模式的护理方案。比较两组患儿术后并发症发生情况,并于干预前、干预1个月、干预3个月比较两组患儿父母焦虑抑郁情绪、肠造口护理知识知晓度。结果研究组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。干预3个月后研究组患儿父母焦虑抑郁情绪轻于对照组,肠造口护理知识知晓度高于对照组,两组比较,差异有统计学意义(均P<0.05)。结论 Ahmadi延续性护理模式的肠造口患儿护理方案,可改善患儿父母负性情绪,并降低术后并发症发生率。Objective To explore the effect of Ahmadi-based continuous nursing model on the mental health of colostomy children and their parents. Methods A total of 60 colostomy children and their parents in Children’s Hospital of Hunan Province from August 2017 to October 2018 were enrolled in the present study. The children and their parents were randomly divided into study group and control group equally. The control group received routine postoperative stoma care, while Ahmadi-based continuous nursing model was carried out in the study group. The two groups were compared in terms of complication, anxiety and depression can care ability of their parents after 1 ~3 months of intervention. Results Complication rate in study group was significantly lower than that in control group(P<0.05). After 1~3 months of intervention, the study group showed lower SAS score and higher care ability score. After 3 months of intervention, the study group showed lower SDS score compared to the control group, and the difference was statistically significant( P<0.05). Conclusion Ahmadi-based continuous nursing model can effectively reduce the incidence of complications as well as development of negative mental moods of the children and their parents.

关 键 词：Ahmadi延续性护理模式 肠造口 儿童 肠造口知识 焦虑抑郁 

分 类 号：R473.72[医药卫生—护理学]