以家庭为中心的护理模式对急性阑尾炎患儿焦虑、疼痛及睡眠质量的影响  

Effect of Family Centered Nursing Model on Anxiety,Pain and Sleep Quality of Children with Acute Appendicitis

作　　者：孔祥欣[1] KONG Xiangxin(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院,厦门361003

出　　处：《世界睡眠医学杂志》2022年第8期1471-1474,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨以家庭为中心的护理模式对急性阑尾炎患儿焦虑、疼痛及睡眠质量的影响。方法:选取2019年1月至2019年6月厦门大学附属第一医院收治的行腹腔镜下阑尾切除术的患儿80例作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。对照组给予常规护理干预,观察组给予以家庭为中心的护理模式进行干预,采用匹兹堡睡眠质量指数(PSQI)比较2组患儿护理前后睡眠质量的改善情况,采用汉密尔顿焦虑量表(HAMA)比较2组患儿家属护理前后焦虑改善情况,同时比较2组患者术后恢复情况及并发症发生情况。结果:护理干预后,观察组患儿家属HAMA评分显著低于对照组,观察组患儿PSQI评分显著低于对照组,观察组患儿术后0 h、术后24 h、术后72 h的脸谱量表评分均较对照组低,观察组患儿术后肠蠕动恢复的时间、住院时间均短于对照组,观察组术后并发症发生率显著低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:在急性阑尾炎患儿围手术期应用以家庭为中心的护理模式可取得较为理想的护理效果,可有效改善患儿的睡眠质量,缓解患儿家属的焦虑情绪,减少患儿住院时间,加快康复进程,降低并发症发生率,值得临床推广使用。Objective:To explore the effect of family centered nursing model on anxiety,pain and sleep quality of children with acute appendicitis.Methods:A total of 80 children who underwent laparoscopic appendectomy in the First Affiliated Hospital of Xiamen University from January 2019 to June 2019 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given family centered nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of sleep quality of children in 2 groups before and after nursing,and Hamilton Anxiety Scale(HAMA)was used to compare the improvement of anxiety of family members of children in 2 groups before and after nursing,At the same time,the postoperative recovery and complications of the 2 groups were compared as well.Results:After the nursing intervention,the HAMA score of the family members in the observation group was significantly lower than the control group,and the PSQI score in the observation group was significantly lower than that of the control group;The scores of facial scale of children in the observation group at 0 h,24 h and 72 h after operation were lower than those in the control group,the recovery time of intestinal peristalsis and hospitalization time of children in the observation group were shorter than those of the control group.The incidence of postoperative complications in the observation group was significantly lower than that the control group.The difference between the 2 groups was statistically significant(Ps<0.05).Conclusion:The application of family centered nursing model in the perioperative period of children with acute appendicitis can achieve ideal nursing effect,effectively improve the sleep quality of children,relieve the anxiety of their families,reduce the hospitalization time of children,speed up the recovery process,and reduce the i

关 键 词：以家庭为中心护理模式 急性阑尾炎 焦虑程度 术后恢复时间 并发症 

分 类 号：R656.8[医药卫生—外科学] R338.63[医药卫生—临床医学]