基于舒适化护理理论的干预模式在3~14岁小儿日间手术中的效果及对苏醒质量的影响研究  

Study on the Effect of Intervention Model Based on Comfort Care Theory in Pediatric Day Surgery of 3-14 Years Old and Its Effect on Wake Quality

作　　者：孙彩虹[1] 邓明霞[2] SUN Caihong;DENG Mingxia(Department of Anesthesia and Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361001 China;Special Department of Cadre Health Care,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361001 China)

机构地区：[1]厦门大学附属第一医院麻醉手术科,福建厦门361001 [2]厦门大学附属第一医院干部保健特诊部,福建厦门361001

出　　处：《中外医疗》2023年第17期153-157,共5页China & Foreign Medical Treatment

摘　　要：目的探讨基于舒适化护理理论的干预模式对3~14岁小儿日间手术的临床效果及苏醒质量的影响。方法方便选取2020年1月—2022年2月厦门大学附属第一医院儿科收治的3~14岁小儿日间手术患者63例为研究对象,采用随机数表法分为对照组(32例)和观察组(31例),对照组患者给予常规的护理,观察组给予舒适化护理,比较两组患儿的苏醒质量、舒适度、护理满意度、并发症发生率。结果术后观察组患儿苏醒时间、拔管时间、恢复室滞留时间均短于对照组,差异有统计学意义(P<0.05)。观察组T_(1)、T_(2)、T_(3)HR、MAP均低于对照组,差异有统计学意义(P<0.05);观察组环境、生理、社会文化、心理状况评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于舒适化护理理论的干预模式应用于3~14岁小儿日间手术中临床效果显著,提升苏醒质量,且安全性较好。Objective To explore the effect of intervention model based on comfort care theory on clinical outcomes and wake quality of pediatric day surgery in 3-14 years old children.Methods 63 pediatric day surgery patients aged 3-14 years admitted to the pediatric department of the First Affiliated Hospital of Xiamen University from January 2020 to February 2022 were conveniently selected for the study,and were divided into a control group(32 cases)and an observation group(31 cases)using the random number table method.The patients in the control group were given conventional care and the observation group were given comfort care,and the quality of awakening,comfort,satisfaction with care,and complication rate of the children in the two groups were compared.Results Postoperative awakening time,extubation time,and recovery room retention time of children in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The T_(1),T_(2),T_(3)HR and MAP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The environmental,physical,socio-cultural,and psychological status scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The intervention model based on comfort care theory is clinically effective in pediatric day surgery for children aged 3-14 years,and it improves the quality of awakening and has better safety.

关 键 词：日间手术 儿童 舒适化护理理论 护理 苏醒质量 

分 类 号：R473.73[医药卫生—护理学] R726.1[医药卫生—临床医学]