规范化护理干预对小儿肛周脓肿预后的应用价值  

Application Value of Standardized Nursing Intervention on Prognosis of Perianal Abscess in Children

作　　者：马淑贞 李梅 李婷婷[1] Ma Shuzhen;Li Mei;Li Tingting(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan471000)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《辽宁医学杂志》2023年第1期102-104,共3页Medical Journal of Liaoning

摘　　要：目的 探讨规范化护理干预对小儿肛周脓肿预后的应用价值。方法 选取2018年8月-2019年5月我院收治的100例肛周脓肿患儿,按入院顺序分为对照组和观察组,各50例。对照组常规护理,观察组实施规范化护理干预。观察比较两组患儿肛门功能,生活质量及并发症发生情况。结果 干预后观察组Wexner评分(3.56±0.94)分低于对照组(5.86±1.27)分(P<0.05)。干预后观察组SQLI评分(8.73±1.05)分高于对照组(6.21±0.62)分(P<0.05)。对照组并发症发生率22.00%高于观察组6.00%(P<0.05)。结论 规范化护理干预可有效改善肛周脓肿患儿肛门功能,提高其生活质量,且无明显脓肿复发、肛瘘等并发症情况发生,安全性更高,可为患儿预后评估提供重要参考依据,值得临床推荐。Objective To investigate the value of standardized nursing intervention on prognosis of perianal abscess in children.Methods One hundred children with perianal abscess in our hospital from August 2018 to May 2019 were enrolled, and divided into two groups according to admission order, each with 50 cases.Control group received routine nursing, while observation group received standardized nursing.Then the anal function, quality of life and complications were compared between groups.Results Wexner score showed no significant difference between groups before intervention(P>0.05),which was significantly lower in observation group than in control group after intervention(P<0.05).Scores of Spitzer Quality of Life Index(SQLI)showed no significant difference between groups before intervention(P>0.05),which were significantly higher in observation group than in control group after intervention(P<0.05).The incidence of false wound healing, abscess recurrence and anal fistula in control group was significantly higher than that in observation group(P<0.05).Conclusion The standardized nursing intervention can effectively improve the anal function and quality of life of children with perianal abscess, and there are no obvious complications such as abscess recurrence and anal fistula.Furthermore, it can provide an important reference basis for the prognosis evaluation of children, and is worthy of clinical recommendation.

关 键 词：规范化护理 小儿肛周脓肿 预后 应用价值 

分 类 号：R473.72[医药卫生—护理学]