情志干预下寓教于乐模式护理对小儿发育性髋关节脱位矫形术后肢体恢复及疼痛影响  

Effect of affective intervention with edutainment model of care on limb recovery and pain after orthopedic surgery for children with pediatric developmental dysplasia of hip

作　　者：孙蕾 金薇[1] 王楠[1] SUN Lei;JIN Wei;WANG Nan(Department of Pediatric Orthopaedics,Beijing Jishuitan Hospital,Beijing100035,China)

机构地区：[1]北京积水潭医院小儿骨科,北京100035

出　　处：《中国医药导报》2022年第33期168-171,共4页China Medical Herald

摘　　要：目的 探讨小儿发育性髋关节脱位(DDH)矫形术后采用情志干预下寓教于乐模式护理对患儿术后肢体恢复及疼痛的影响。方法 选取2019年11月至2021年11月北京积水潭医院小儿骨科行矫形术治疗的300例DDH患儿,采用掷硬币法分为对照组与观察组,均150例。对照组给予常规情志护理,观察组给予情志干预下寓教于乐模式护理,均连续干预3个月。比较两组手术前后肢体恢复[简易Fugl-Meyer运动功能量表(FAM)中下肢功能量表评估]、疼痛情况[视觉模拟评分法(VAS)评估]及术后并发症。结果 干预3个月时,两组下肢FAM评分高于干预前,且观察组高于对照组,差异有统计学意义(P <0.05)。干预3个月时,两组VAS评分低于干预前,且观察组低于对照组,差异有统计学意义(P <0.05)。两组并发症发生率比较,差异无统计学意义(P> 0.05)。结论 情志干预下寓教于乐模式护理可促进DDH患儿矫形术后肢体恢复,降低疼痛。Objective To investigate the effect of edutainment model of care with affective intervention on postoperative limb recovery and pain in children with pediatric developmental dysplasis of hip(DDH) after orthopedic surgery. Methods Three hundred children with DDH treated by orthopaedic surgery in the Department of Pediatric Orthopaedics of Beijing Jishuitan Hospital from November 2019 to November 2021 were selected and divided into control group and observation group by using the coin toss method, with 150 cases. The control group was given conventional affective care, the observation group was given the edutainment model of care under affective intervention, both for three months continuously. The limb recovery(evaluation of lower limb function scale in simple Fugl-Meyer assessment [FAM]), pain condition(evaluation of visual analog scale [VAS]) before and after operation and postoperative complications were compared between two groups.Results At three months of intervention, the lower limb FAM scores in both groups were higher than before the intervention,while that in the observation group was higher than that in the control group, and the differences were statistically significant(P < 0.05). At three months of intervention, the VAS scores in both groups were lower than before the intervention, while that in the observation group was lower than that in the control group, and the differences were statistically significant(P <0.05). There was no statistically significant difference in the complication rate between the two groups(P > 0.05).Conclusion Teaching in fun nursing mode under emotional intervention can promote the recovery of limbs and reduce pain of children with DDH after orthopedic surgery.

关 键 词：小儿发育性髋关节脱位 情志护理 寓教于乐模式护理 肢体恢复 疼痛 

分 类 号：R473.72[医药卫生—护理学]