加速康复外科联合家庭参与式护理在先天性直肠肛门畸形围术期管理中的应用  

Application of enhanced recovery after surgery combined with family participatory nursing in perioperative management of congenital anorectal malformations

作　　者：贺成玲 徐晓丽[1] 颜小娟[1] HE Chengling;XU Xiaoli;YAN Xiaojuan(Hunan Provincial Children's Hospital,Changsha,410000,China)

机构地区：[1]湖南省儿童医院胎儿与新生儿外科,湖南省长沙市410000

出　　处：《护理实践与研究》2023年第2期260-265,共6页Nursing Practice and Research

摘　　要：目的探究加速康复外科联合家庭参与式护理在先天性直肠肛门畸形围术期管理中的应用效果。方法选取2020年6月—2021年6月医院胎儿与新生儿外科收治的100例先天性直肠肛门畸形患儿为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,每组50例。对照组患儿在围术期进行常规护理干预,观察组患儿在围术期实施加速康复外科联合家庭参与式护理干预。对比两组患儿术后疼痛情况、并发症发生情况、住院时长,出院前调查患儿家长护理满意度情况。结果加速康复外科联合家庭参与式护理干预后,观察组患儿术后6 h、术后12 h、术后24 h和术后48 h时的疼痛评分均低于对照组,组间比较差异有统计学意义(P组间<0.05),时间比较差异有统计学意义(P时间<0.05),交互比较差异有统计学意义(P交互<0.05);观察组患儿术后并发症总发生率低于对照组,组间差异有统计学意义(P<0.05);观察组患儿住院时间短于对照组,组间差异有统计学意义(P<0.05);观察组患儿家长各项护理满意度评分和总分均高于对照组,组间差异有统计学意义(P<0.05)。结论在先天性直肠肛门畸形患儿围术期实施加速康复外科联合家庭参与式护理干预,可有效减轻患儿术后疼痛程度,减少术后并发症发生,缩短患儿住院时长,也可促进患儿家长护理满意度的提升。Objective To explore the application effect of enhanced recovery after surgery combined with family participatory nursing in perioperative management of congenital anorectal malformations.Methods To select 100 children patients with congenital anorectal malformations admitted to the hospital for fetal and newborn surgery from June 2020 to June 2021 as the study objects.According to the principle of comparability of basic data between groups,they were divided into a control group and an observation group,with 50 cases in each group.The children patients in the control group received routine nursing intervention in the perioperative period,while the children patients in the observation group received enhanced recovery after surgery combined with family participatory nursing intervention in the perioperative period.The postoperative pain,complications and length of stay of the two groups were compared,and the satisfaction of the parents of the children was investigated before discharge.Results After enhanced recovery after surgery combined with family participatory nursing intervention,the pain scores of children patients in the observation group at 6 h,12 h,24 h and 48 h after operation were lower than those in the control group,the differences between the groups were statistically significant(P<0.05),the time difference was statistically significant(P<0.05),the difference of interactive comparison was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference between the groups was statistically significant(P<0.05).The hospitalization time in the observation group was shorter than that in the control group,and the difference between the groups was statistically significant(P<0.05).The scores and total score of nursing satisfaction in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The implementation

关 键 词：先天性直肠肛门畸形 加速康复外科 家庭参与式护理 并发症 护理满意度 

分 类 号：R473.72[医药卫生—护理学]