以造口专科护士为主导的链式管理对肠造口患儿的影响  

Impact of chain management led by specialized stoma nurses on pediatric patients with enterostomy

作　　者：谢丽 游倩 朱丹[1] 李碧稳 李虹霖 Xie Li;You Qian;Zhu Dan;Li Biwen;Li Honglin(Department of Pediatric Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院小儿外科,湖北武汉430030

出　　处：《护理学杂志》2024年第6期46-49,共4页Journal of Nursing Science

摘　　要：目的 探讨以造口专科护士为主导的链式管理在肠造口患儿中的实施效果,以促进临时性肠造口患儿全程管理及术后早期康复。方法 依据住院时间将肠造口患儿分为对照组和观察组,2020年6月至2021年6月收治的32例肠造口患儿为对照组,实施常规护理;2021年7月至2022年6月收治的32例肠造口患儿为观察组,以造口专科护士为主导,链接患儿首次造口期、居家护理期、造口还纳期3个环节对肠造口患儿实施链式管理。结果 观察组术后造口相关并发症发生率及非计划入院率与对照组比较,差异无统计学意义(均P>0.05),照护者满意度评分显著高于对照组(均P<0.05)。结论 以造口专科护士为主导对肠造口患儿实施链式管理,落实全程护理,优化就医流程,可相对降低患儿术后造口相关并发症发生率,提升照护者满意度,以促进患儿早期康复。Objective To explore the implementation effect of chain management led by specialized stoma nurses in pediatric patients with temporary stoma,in order to promote the comprehensive management and early postoperative recovery in children with temporary stomas.Methods Based on hospitalization periods,pediatric patients with enterostomy were divided into a control group and an experimental group.The control group,comprising 32 cases admitted from June 2020 to June 2021,received routine nursing care.The experimental group,consisting of 32 cases admitted from July 2021 to June 2022,implemented chain management led by specialized stoma nurses at three stages:the initial stoma period,home-based health care period,and stoma return period.Results The experimental group showed no statistically significant differences in the incidence of postoperative stoma-related complications and unplanned hospitalization rates compared to the control group(all P>0.05).However,the satisfaction score of caregivers was significantly higher in the experimental group than that in the control group(all P<0.05).Conclusion The implementation of chain management led by specialized stoma nurses for pediatric patients with enterostomy has realized comprehensive care,optimized the medical process,and may relatively reduce the incidence of postoperative stoma-related complications,improve caregiver′s satisfaction,thereby promoting early recovery in pediatric patients.

关 键 词：患儿 肠造口 造口专科护士 链式管理 造口还纳 造口护理 居家护理 

分 类 号：R473.6[医药卫生—护理学]