家属协同管理模式对单侧唇腭裂患儿鼻畸形整复术后治疗依从性的影响  

Effects of Family-collaboration Management Mode on Treatment Compliance of Unilateral Cleft Lip and Palate Children after Nasal Deformity Repair

作　　者：李文君 吕亚丽 乔丹 LI Wenjun;LYU Yali;QIAO Dan(Department of Pediatrics 2,Qingdao Hospital of Traditional Chinese Medicine,Qingdao 266000,Shandong,China;Department of Dental Surgery,Qingdao Haici Medical Group,Qingdao 266000,Shandong,China;Department ofPediatrics,Qingdao Haici Medical Group,Qingdao 266000,Shandong,China)

机构地区：[1]青岛市中医院小儿二科,山东青岛266000 [2]青岛市海慈医疗集团口腔外科,山东青岛266000 [3]青岛市海慈医疗集团小儿科,山东青岛266000

出　　处：《中国美容医学》2022年第7期164-167,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究家属协同管理模式对单侧唇腭裂患儿鼻畸形整复术后治疗依从性的影响。方法:以2019年1月-2020年1月行鼻畸形整复术治疗的单侧唇腭裂患儿94例为研究对象,采用随机数字表法将其分为对照组和观察组,每组47例。对照组给予常规围术期护理干预,观察组在此基础上给予家属协同管理模式干预。比较两组住院时间、一期愈合率及对服药、鼻腔清洁的依从性;观察两组患儿干预前后慢性病儿童韧性量表(Chronic illness children’s resilience scale,CICRS)、视觉模拟评分法(Visual analogue scale,VAS)、Achenbach儿童行为量表(Child behavir checklist,CBCL)、儿童睡眠紊乱量表(Sleep disturbance scale for children,SDSC)评分情况,统计患儿术后并发症发生情况。结果:观察组住院时间短于对照组,差异有统计学意义(P<0.05)。两组一期愈合率比较差异无统计学意义(P>0.05)。观察组干预后CICRS评分高于对照组,VAS、CBCL及SDSC评分均低于对照组,差异有统计学意义(P<0.05)。观察组患儿对服药、鼻腔清洁的依从性高于对照组,差异有统计学意义(P<0.05)。观察组未出现明显并发症,对照组出现感染1例(2.13%),组间比较差异无统计学意义(P>0.05)。结论:将家属协同管理模式应用于单侧唇腭裂患儿鼻畸形整复术后护理中,可缓解术后疼痛,提高患儿心理韧性及行为能力,并能改善睡眠质量,提高其治疗依从性。Objective To explore the effects of family-collaboration management mode on treatment compliance in unilateral cleft lip and palate children after nasal deformity repair.Methods A total of 94 children with unilateral cleft lip and palate undergoing nasal deformity repair were enrolled as the research objects between January 2019 and January 2020.They were divided into the control group and the observation group by random number table method,47 cases in each group.The control group was given routine perioperative nursing,while observation group was additionally given family-collaboration management mode.The hospitalization time,primary healing rate and compliance to medication and nasal cavity cleaning were compared between the two groups.The changes in scores of Chronic illness children’s resilience scale (CICRS),Visual analogue scale (VAS),Child behavior checklist (CBCL) and Sleep disturbance scale for children (SDSC) before and after intervention in both groups were observed.The occurrence of postoperative complications was statistically analyzed.Results The hospitalization time in the observation group was shorter than that in the control group,the difference was statistically significant (P<0.05).There was no significant difference in primary healing rate between the two groups (P>0.05).After intervention,CICRS score in the observation group was higher than that in the control group,while VAS,CBCL and SDSC scores were lower than those in the control group (P<0.05).The compliance to medication and nasal cavity cleaning in the observation group was higher than those in the control group (P<0.05).There were no significant complications in the observation group,one case (2.13%) of infection in the control group,and there was no significant difference between the groups (P>0.05).Conclusion The application of family-collaboration management mode in the nursing of children with unilateral cleft lip and palate after rhinoplasty can relieve postoperative pain,enhance psychological resilience and behavior ability,imp

关 键 词：家属协同管理模式 唇腭裂 单侧 鼻畸形整复术 护理干预 生活质量 疼痛 

分 类 号：R473.78[医药卫生—护理学]