需要层次理论模式护理对1~10岁阑尾炎手术患儿的影响  

Effect of Need Hierarchical Theoretical Model of Nursing on 1-10 Years Old Children Undergoing Appendicitis Surgery

作　　者：翁燕恋 许淑君[1] 苏毅[1] 陈小芳[1] 苏花治 林丽华 江华洁 WENG Yanlian;XU Shujun;SU Yi;CHEN Xiaofang;SU Huazhi;LIN Lihua;JIANG Huajie(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中外医学研究》2023年第34期91-95,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨需要层次理论模式护理对1~10岁阑尾炎手术患儿的影响。方法:选取2021年1月—2023年1月厦门大学附属第一医院收治的70例1~10岁阑尾炎手术患儿,根据患儿家长的意愿将其分为观察组和参考组,各35例。参考组采用为一般性护理,观察组采用需要层次理论模式护理。比较两组的行为问题、睡眠质量、应激指标及患儿家长满意度。结果:护理前,两组Achenbach儿童行为量表(CBCL)行为问题评分比较,差异无统计学意义(P>0.05);护理后,观察组CBCL行为问题评分显著低于参考组,差异有统计学意义(P<0.05)。护理前,两组总睡眠时间、睡眠潜伏期比较,差异无统计学意义(P>0.05);护理后,两组总睡眠时间长于护理前,睡眠潜伏期显著短于护理前,且观察组总睡眠时间长于参考组,睡眠潜伏期短于参考组,差异有统计学意义(P<0.05)。术后1 h,观察组促肾上腺皮质激素、皮质醇、去甲肾上腺素水平明显低于参考组,差异有统计学意义(P<0.05)。观察组家长总满意度明显高于参考组,差异有统计学意义(P<0.05)。结论:需要层次理论模式护理更有利于改善1~10岁阑尾炎手术患儿行为问题,提升患儿睡眠质量及其家长满意度,并减轻阑尾炎手术期间的手术应激,促进阑尾炎患儿术后恢复。Objective:To explore the impact of need hierarchical theoretical model of nursing on 1-10 years old children undergoing appendicitis surgery.Method:A total of 70 children aged 1-10 years old who received appendicitis surgery in the First Affiliated Hospital of Xiamen University from January 2021 to January 2023 were selected,and they were divided into observation group and reference group according to the wishes of their parents,with 35 cases in each group.The reference group was adopted as general nursing,and the observation group was adopted as need hierarchical theoretical model of nursing.The behavior problem,sleep quality,stress index and parental satisfaction were compared between the two groups.Result:Before nursing,there was no significant difference in the behavioral problem scores of Achenbach child behavior checklist(CBCL)between the two groups(P>0.05).After nursing,the behavioral problem scores of CBCL of the observation group was significantly lower than that of the reference group,the difference was statistically significant(P<0.05).Before nursing,there were no significant differences in total sleep time and sleep latency between the two groups(P>0.05).After nursing,the total sleep time of the two groups were longer than those before nursing,and the sleep latency were significantly shorter than those before nursing,and the total sleep time of the observation group was longer than that of the reference group,and the sleep latency was shorter than that of the reference group,the differences were statistically significant(P<0.05).At 1 h after surgery,the levels of corticotropin,cortisol and norepinephrine in observation group were significantly lower than those in reference group,the differences were statistically significant(P<0.05).The total satisfaction of parents in observation group was significantly higher than that in reference group,and the difference was statistically significant(P<0.05).Conclusion:Need hierarchical theoretical model of nursing is more conducive to improving the behavior probl

关 键 词：需要层次理论模式护理 阑尾炎 手术 睡眠质量 恢复效果 

分 类 号：R473.72[医药卫生—护理学]