综合护理干预在一次性包皮环切器行包皮环切术患儿中的应用  

Application of comprehensive nursing intervention in children undergoing disposable circumcision

作　　者：程青 CHENG Qing(Department of Urology,Fujian Maternal and Child Health Hospital,Fujian Province,Fuzhou350000,China)

机构地区：[1]福建省妇幼保健院泌尿外科,福建福州350000

出　　处：《中国当代医药》2022年第14期193-196,共4页China Modern Medicine

摘　　要：目的分析综合护理干预在一次性包皮环切器行包皮环切术患儿中的应用效果。方法选取2020年5月至2021年5月福建省妇幼保健院收治的使用一次性包皮环切器进行包皮环切手术治疗的98例患儿作为研究对象,采用随机数字表法将其分为常规组与研究组,每组各49例。常规组采用术后普通护理,研究组采用术后综合护理干预。比较两组患儿的负面情绪得分[儿童抑郁评定量表(CDRS)、儿童焦虑性情绪障碍筛查量表(SCARED)]、疼痛指标[视觉模拟评分法(VAS)]得分、术后并发症总发生率、护理总满意度。结果研究组患儿干预后的CDRS评分、SCARED评分低于常规组,差异有统计学意义(P<0.05)。研究组患儿术后2、12、24 h的VAS评分均低于常规组,差异有统计学意义(P<0.05)。研究组患儿术后并发症总发生率低于常规组,差异有统计学意义(P<0.05)。研究组的护理总满意度高于常规组,差异有统计学意义(P<0.05)。结论小儿包皮环切术后采用综合护理干预能够进一步减轻患儿的负面情绪以及疼痛感,促使其积极配合治疗,主动规避并发症,从而获得更加满意的临床结局。Objective To analyze the application effect of comprehensive nursing intervention in children undergoing disposable circumcision.Methods A total of 98 children who were treated with disposable circumcision device in Fujian Maternal and Child Health Hospital from May 2020 to May 2021 were selected as the research subjects.They were divided into conventional group and study group by random number table method,with 49 cases in each group.The routine group used postoperative general nursing,the study group used postoperative comprehensive nursing intervention.The negative emotion scores(children depression rating scale[CDRS],children anxiety disorder screening scale[SCARED]),pain indicators(visual analog scale[VAS]),the total incidence of postoperative complications,and total nursing satisfaction of the two groups were compared.Results The CDRS score and SCARED score of the study group were lower than those of the conventional group after intervention,and the differences were statistically significant(P<0.05).VAS scores of 2,12 and 24 h after operation in the study group were lower than those in the conventional group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of the study group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing intervention after pediatric circumcision can further reduce the negative emotions and pain of children,promote them to actively cooperate with the treatment,actively avoid complications,so as to obtain a more satisfactory clinical outcome.

关 键 词：一次性包皮环切器 包皮环切术 小儿 综合护理 

分 类 号：R473[医药卫生—护理学]