赋能教育对先天性食管闭锁患儿术后生存质量的影响  

Effects of empowerment education on postoperative quality of life in children with congenital esophageal atresia

作　　者：代禄润 莫霖[2] 申玉洁[1] 周雅婷[1] Dai Lurun;Mo Lin;Shen Yujie;Zhou Yating(Department of Cardiothoracic Surgery;Outpatient Department,Children’s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,National Clinical Research Center for Child Health and Disorders,China International Science and Technology Cooperation Base of Child development and Critical Disorders)

机构地区：[1]重庆医科大学附属儿童医院心胸外科,重庆400014 [2]重庆医科大学附属儿童医院门诊部,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,重庆400014

出　　处：《重庆医科大学学报》2024年第7期877-883,共7页Journal of Chongqing Medical University

基　　金：重庆市自然科学基金面上资助项目(编号:CSTB2022NSCQMSX0082)。

摘　　要：目的:探讨赋能教育对先天性食管闭锁患儿术后生存质量的影响。方法:开展平行对照试验,动态纳入2020年3月至2023年2月于本院就诊的86例先天性食管闭锁患儿为研究对象,按照入组先后顺序分为对照组(n=42)和试验组(n=44)。对照组接受常规健康宣教,试验组在对照组基础上对患儿家长实施赋能教育,干预期为3个月。比较2组干预前后生存质量、生长发育、术后并发症发生情况以及家长疾病知识掌握度和护理满意度。结果:干预后,试验组生存质量总分高于干预前[87.50(79.32,97.22)vs.78.17(75.00,88.54)],在生理、心理情感、社会交往和学校角色领域得分均高于干预前,均P<0.05;与对照组相比,试验组生存质量总分高于对照组[87.50(79.32,97.22)vs.79.76(71.88,89.29)],在生理、心理情感、社会交往领域得分均高于对照组,均P<0.05。干预后,试验组体质指数[15.70(15.08,16.48)]优于干预前的[15.05(14.35,16.00)]和对照组的[14.85(13.60,16.00)],均P<0.05。结论:赋能教育能有效提高先天性食管闭锁患儿术后生存质量,降低呼吸困难的发生率以及吞咽困难和呛咳的发生频率,缓解术后并发症带给患儿的不适感受,提升患儿术后体质指数,提高家长疾病知识掌握度和护理满意度。Objective:To investigate the effects of empowerment education on postoperative quality of life in children with congenital esophageal atresia.Methods:Using a parallel-controlled design,we dynamically enrolled 86 children with congenital esophageal atre⁃sia who visited the Children’s Hospital of Chongqing Medical University from March 2020 to February 2023.They were assigned into control group(n=42)and experimental group(n=44)according to the order of enrollment.The control group received conventional health education,while for the experimental group,in addition to the conventional intervention,empowerment education was adminis⁃tered to the parents of the children,for a period of 3 months.The two groups were compared in terms of quality of life before and after intervention,growth and development,postoperative complications,and parents’knowledge of the disease and satisfaction with nursing care.Results:After intervention,the experimental group showed a significantly higher total score of quality of life[87.50(79.32,97.22)vs.78.17(75.00,88.54)]and significantly higher scores in the physical domain,psycho-emotional domain,social interaction,and school roles(all P<0.05);and compared with the control group,the experimental group also had a significantly higher total score of quality of life[87.50(79.32,97.22)vs.79.76(71.88,89.29)]as well as significantly higher scores in the physical,psycho-emotional,and social interaction domains(all P<0.05).After the intervention,the body mass index of the experimental group was[15.70(15.08,16.48)],which was significantly better than the pre-intervention level[15.05(14.35,16.00)]and that of the control group[14.85(13.60,16.00);bothP<0.05].The experimental group had significantly less frequent dyspnea(22.73%vs.42.86%)and dysphagia and bucking as well as a significantly higher level of disease knowl⁃edge and degree of satisfaction with nursing care compared with the control group(all P<0.05).Conclusion:Empowerment education can effectively improve the postoperative quality o

关 键 词：赋能教育 先天性食管闭锁 术后 儿童 生存质量 

分 类 号：R473.72[医药卫生—护理学]