家庭参与模式对新生儿食管闭锁术后并发症及生活质量的作用  

Analysis of the effects of family participation model on the postoperative complications and life quality of neonates with esophageal atresia

作　　者：郝建宗[1] 董洁景[1] 张丽[1] 范静[2] 时莉芳[2] 夏东晓 HAO Jianzong;DONG Jiejing;ZHANG Li(Hebei Provincial Children’s Hospital,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院,石家庄市050031 [2]河北省人民医院 [3]山东省德州市人民医院

出　　处：《河北医药》2022年第15期2308-2311,共4页Hebei Medical Journal

摘　　要：目的探讨胸外科重症监护病房(pediatric intensive care unit,PICU)内家庭参与模式在新生儿食管闭锁术后中的作用。方法回顾性分析2016年1月至2021年1月收治的60例Ⅲ型食管闭锁的患儿,患儿均在胸腔镜下行食管断端吻合术;按照术后护理方式的不同将患儿分为2组,其中对照组26例为传统常规护理模式;试验组34例为家庭参与模式;比较2组患儿住院时间,体重增长速度,喂养情况,家长焦虑情况和术后并发症情况。结果60例患儿均在住院期间完成随访,其中2组患儿的一般情况及家长一般情况差异无统计学意义(P>0.05),术后患儿出现的食管吻合口瘘及食管狭窄等并发症情况差异无统计学意义(P>0.05),但试验组患儿的体重增长速度、全胃肠营养时间、住院时间及家长的焦虑和满意情况均明显优于对照组,差异有统计学意义(P<0.05)。结论PICU中家庭参与模式有助于加速食管闭锁术后患儿恢复进程,促进体重增长速度,降低家长紧张焦虑程度,提高对护理质量的满意率,同时不会增加患儿院内感染的风险。Objective To investigate the effects of family participation model on the postoperative complications and life quality of neonates with esophageal atresia in pediatric intensive care unit(PICU).Methods The clinical data about 60 children with typeⅢesophageal atresia who were treated in our hospital from January 2016 to January 2021 were retrospectively analyzed.All the patients underwent esophagogastrostomy under thoracoscopy.According to different postoperative nursing methods,these patients were divided into control group(n=26)and experimental group(n=34).The patients in control group were treated by conventional nursing mode,however,those in experimental group were treated by family participation nusing mode.The hospitalization time,weight growth rate,feeding,parental anxiety and postoperative complications were observed and compared between the two groups.Results All the 60 patients were followed up during hospitalization.There were no significant differences in general condition of patients and general situation of their parents between the two groups(P>0.05).There was no significant difference in the incidence rate of complications including esophageal anastomotic fistula and esophageal stenosis between the wto groups(P>0.05),however,the weight growth rate,total gastrointestinal nutrition time and the hospitalization time,anxiety emotion and satisfaction degree of parents in experimental group were significantly better than those in control group(P<0.05).Conclusion The family participation model in PICU is helpful for accelerating the recovery process of children patients with esophageal atresia,promote the weight growth rate,relieve the tension and anxiety emotions of patients’parents,improve the satisfaction rate of nursing quality,without increasing the risk of nosocomial infection.

关 键 词：胸外科重症监护病房 家庭参与 新生儿 食管闭锁 管理方式 

分 类 号：R571[医药卫生—消化系统]