4C模式在先天性肛门闭锁患儿围手术期护理中的应用  

Application of 4C model in perioperative nursing care of children with congenital imperforate anus

作　　者：侯小莉[1] 黄静[1] 任婷 HOU Xiaoli;HUANG Jing;REN Ting(Department of Pediatric Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan,637000)

机构地区：[1]川北医学院附属医院小儿外科

出　　处：《中西医结合护理（中英文）》2019年第9期142-144,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨4C模式在先天性肛门闭锁患儿围手术期护理中的应用。方法选取2016年5月—2018年5月收治的低位先天性肛门闭锁患儿17例,均采取一期会阴肛门成形术行肛门重建。围手术期间实施基于4C模式的护理管理方案。结果肛门重建术后,17例患儿均无发热,6(35.29%)例患儿肛门伤口感染。术后3个月肛门功能Kelly评分优14例、良3例。术后随访6个月,无并发症发生。结论先天性肛门闭锁患儿围手术期采用基于4C模式的护理管理方案,能够促进肛门功能的重建,提高患儿生存质量。Objective To investigate the application value of comprehensiveness-collaboration-coordination-continuity(4C)model in nursing management of children with surgical treatment forcongenital imperforate anus.Methods Totally 17 children with congenital imperforate anus were treated by anoplasty through sacroperineal approach forreconstruction of anus.Nursing interventions based on 4C model were carried out during the operation period.Results There was no children had fever after reconstruction of anus,and incision infection was found in 6(35.29%)children.In terms anal function assessment,14 cases achieved excellent outcomes and 3 cases with good outcomes.No complications were observed aftera 6-month follow-up.Conclusion The 4C model is effective to ensure the surgical efficacy of anoplasty and improve the reconstruction of anus aftersurgery.

关 键 词：4C模式 先天性肛门闭锁 肛门重建 康复指导 延续性护理 

分 类 号：R473.72[医药卫生—护理学]