家庭参与式护理对肠造口患儿回归家庭的研究  

Study on family participation nursing for children with enterostomy returning to family

作　　者：宋霞梅[1] 钟春霞[1] 何海燕[1] 林宝杰 黄琼[1] 郑爽欢[1] Song Xiamei;Zhong Chunxia;He Haiyan;Lin Baojie;Huang Qiong;Zheng Shuanghuan(Neonatal Intensive Care Unit,Pediatric Center,Zhujiang Hospital of Southern Medical University,Guangzhou Gungdong,510280)

机构地区：[1]南方医科大学珠江医院儿科中心NICU,广东广州510280

出　　处：《护士进修杂志》2021年第7期614-618,共5页Journal of Nurses Training

摘　　要：目的探讨家属参与式陪护对肠造口患儿回归家庭后的影响。方法选取2018年9月-2020年1月我院收治的60例肠造口术后新生儿作为研究对象,按照住院时间先后顺序分为对照组和观察组各30例,对照组(2018年9月-2019年5月)给予常规护理,观察组(2019年6月-2020年1月)提供过渡病房让家属参与陪护(包括团队的组建,照顾者陪护制度的制定,家属理论、实践培训及考核,出院后延续护理跟踪等)。比较两组患儿回归家庭后肠造口并发症发生率、再入院率、两次手术时间间隔、患儿体质量、照顾者焦虑水平及随访依从性。结果家属参与式陪护的患儿回归家庭后肠造口并发症发生率、再入院率、两次手术时间间隔、体质量的增长情况、家属焦虑水平及随访依从性均优于对照组,差异具有统计学意义(P<0.05)。结论家属参与陪护可降低出院后肠造口并发症发生率、再入院率、缩短两次手术时间间隔,有利于患儿体质量的增长,改善照顾者焦虑水平,提高家属随访依从性,是基于目前国情和医疗体制下值得推行的照顾策略。Objective To explore the effect of family participation on children with enterostomy returning to their families.Methods 60 cases of newborn infants after enterostomy in our hospital from September 2018 to January 2020 were selected as the research objects,and they were divided into control group and observation group according to the order of hospitalization time,with 30 cases in each group.The control group(September 2018 to May 2019)was given routine nursing,and the observation group(June 2019 to January 2020)was provided with transitional ward to let family members participate in accompanying(including team building,establishment of caregiver accompanying system,theoretical and practical training and assessment of family members,follow-up of extended care after discharge,etc.)The incidence of enterostomy complications,readmission rate,time interval between two operations,weight of children,anxiety level of caregivers and follow-up compliance were compared between the two groups.Results The incidence of enterostomy complications,readmission rate,time interval between two operations,growth of body weight,anxiety level of family members and follow-up compliance of the children with family participation were better than those of the control group.There was statistically significant difference(P<0.05).Conclusion Family members'participation in accompanying care can reduce the incidence of enterostomy complications,readmission rate,shorten the time interval between two operations,increase the weight of children,improve the anxiety level of caregivers and improve the follow-up compliance of family members.It is a worthy care strategy based on the current national conditions and medical system.

关 键 词：参与式护理 肠造口术 新生儿 回归家庭 

分 类 号：R473.72[医药卫生—护理学]