ROY适应模式护理联合路径化护理管理对慢性中耳炎手术患儿的影响  

Effect of ROY Adaptive Nursing Combined with Routing Nursing Management in Children with Chronic Otitis Media Surgery

作　　者：崔明[1] 郝丽 王永贞[1] Cui Ming;Hao Li;Wang Yongzhen(Children′s Hospital Affiliated of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院,河南郑州450000

出　　处：《齐鲁护理杂志》2023年第12期12-14,共3页Journal of Qilu Nursing

摘　　要：目的:探讨罗伊(ROY)适应模式护理联合路径化护理管理对慢性中耳炎手术患儿的影响。方法:选择2018年1月1日~2022年11月30日收治的72例慢性中耳炎患儿为研究对象,根据随机数字表法分为常规护理组和联合护理组各36例;常规护理组给予患儿基础护理,联合护理组在基础护理的同时采取ROY适应模式护理联合路径化护理管理。比较两组护理后儿童疼痛行为评分量表(FLACC)评分,护理前后抑郁-焦虑-压力量表中文简版(DASS-21)评分,护理前及出院后1个月患儿气导骨差和气导听阈值、中文版慢性耳病调查量表(CCES)、中耳炎儿童生活质量调查问卷(OM-6)评价。结果:护理后,联合护理组FLACC评分均低于常规护理组(P<0.05);护理后,两组DASS-21评分均低于护理前(P<0.05),且联合护理组低于常规护理组(P<0.05);出院后1个月,两组气导骨差、气导听阈值均低于护理前(P<0.05),且联合护理组低于常规护理组(P<0.05);出院后1个月,两组CCES评分均高于护理前(P<0.05),且联合护理组高于常规护理组(P<0.05);出院后1个月,两组OM-6评分均低于护理前(P<0.05),且联合护理组低于常规护理组(P<0.05)。结论:ROY适应模式护理联合路径化护理管理慢性中耳炎手术患儿,可减轻患儿术后疼痛,缓解负性情绪,改善听力,提高患儿生活质量。Objective:To explore the effect of ROY adaptive nursing combined with routing nursing management in children with chronic otitis media surgery.Methods:A total of 72 children with chronic otitis media admitted were enrolled from January 1,2018 to November 30,2022 as the study objects,and were according to the random number table method divided into the routine nursing group and the Combined nursing group with 36 children in each group.The routine nursing group was given basic nursing.and the combined nursing group was on the above basis given ROY adaptive mode nursing combined routing nursing management.After nursing,the children were given the child Pain Behavior Scale(FLACC)to evaluate the pain degree of the children.Before and after nursing,the children were given the DASS-21 evaluation.Air conduction bone difference and air conduction threshold were measured before nursing and 1 month after discharge.The Chinese version of the CCES and the OM-6 Children with otitis media Quality of Life questionnaire were evaluated before nursing and one month after discharge.Results:After nursing,the scores of FLACC in the combined nursing group were lower than those in the conventional nursing group(P<0.05).After nursing,the DASS-21 scores in the combined nursing group were lower than those in the conventional nursing group(P<0.05).One month after discharge,the CCES scores in both groups were higher than those before nursing(P<0.05),and those in the combined nursing group higher than those in the conventional nursing group(P<0.05).The CCES score of the combined nursing group was significantly lower than that of the conventional nursing group(P<0.05).One month after discharge,the OM-6 scores in both groups were lower than those before nursing,and those in the combined nursing group were lower than those in the conventional nursing group(P<0.05).Conclusion:ROY adaptive nursing combined with routing nursing management can relieve postoperative pain,improve negative emotions and hearing,and improve the quality of life in childre

关 键 词：慢性中耳炎 罗伊适应模式护理 路径化护理管理 疼痛 听力 生活质量 

分 类 号：R473.72[医药卫生—护理学]