快速康复联合延续性护理模式在胆道闭锁患儿术后的应用  

Application of rapid rehabilitation combined with continuous nursing model in postoperative children with biliary atresia

作　　者：李玲[1] 杨巧玲[1] 陈代祯[1] 王茂林[1] 陈美演 李焕 Li Ling;Yang Qiaoling;Chen Daizhen;Wang Maolin;Chen Meiyan;Li Huan(Pediatric Surgery Department,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院小儿外科,南宁530021

出　　处：《国际护理学杂志》2020年第21期3839-3843,共5页international journal of nursing

基　　金：广西壮族自治区卫计委自筹经费科研课题(Z20170625)。

摘　　要：目的观察延续性护理在胆道闭锁患儿围术期中的应用效果及其对患儿并发症的影响。方法选取2018年1~12月在广西医科大学第一附属医院小儿外科住院的胆道闭锁患儿60例,随机分为试验组和对照组,各30例。对照组行快速康复护理、试验组实施快速康复护理联合延续性护理。结果两组患儿术前禁食禁水、术后肛门排气时间、并发症(除胆管炎外)发生率比较差异均无统计意义(均P>0.05)。两组患儿术后胆管炎发生率、再住院率、住院费用、患儿家属遵医嘱服药依从性、护理满意度比较,差异均有统计学意义(均P<0.05)。结论快速康复护理联合延续性护理可降低胆道闭锁患儿术后并发症的发生率、减少再返院和降低住院费用的效果显著,从根本上提高患儿家属对医护工作的满意度。Objective To observe the effect of continuous nursing in perioperative period in children with biliary atresia and its influence on complications.Methods A total of 60 children with biliary atresia hospitalized in Pediatric Surgery Department of the First Affiliated Hospital of Guangxi Medical University from January to December 2018 were selected and randomly divided into the experimental group and the control group,30 cases each.The control group received rapid rehabilitation nursing,while the experimental group received rapid rehabilitation nursing combined with continuous nursing.Results There were no statistically significant differences between the two groups in preoperative fasting and water abstinence,postoperative anal exhaust time,and incidence of complications(except cholangitis)(P>0.05).There were statistically significant differences between the two groups in postoperative cholangitis incidence,rehospitalization rate,hospitalization expenses,medication compliance and nursing satisfaction between the two groups(P<0.05).Conclusions Rapid rehabilitation nursing combined with continuous nursing can reduce the incidence of postoperative complications in children with biliary atresia,reduce the return to hospital and reduce the cost of hospitalization,and fundamentally improve the satisfaction of the family members of children with biliary atresia.

关 键 词：快速康复护理 延续性护理 胆道闭锁 围术期护理 并发症 

分 类 号：R473.72[医药卫生—护理学]