COPE护理模式在尿道下裂患儿围手术期的应用及对家属心理状态的影响  

Application of COPE nursing model in perioperative period of children with hypospadias and its impact on psychological state of family members

作　　者：宁慧娟 何铭奇 赖春香 NING Huijuan;HE Mingqi;LAI Chunxiang(Xiamen Maternal and Child Health Hospital,Xiamen University Affiliated Women and Childrens Hospital,Xiamen,Fujian,361000,China)

机构地区：[1]厦门市妇幼保健院厦门大学附属妇女儿童医院,福建厦门361000

出　　处：《中西医结合护理（中英文）》2024年第6期25-28,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨在尿道下裂患儿围手术期应用创造父母赋权机会(COPE)护理模式的效果及对家属心理状态的影响。方法选取2020年1月至2023年1月厦门市妇幼保健院收治的100例尿道下裂患儿作为本次研究对象,并就其临床资料进行回顾性分析。根据随机数字表法将纳入患儿分为对照组(50例,常规护理)和观察组(50例,常规护理+COPE护理)。对比2组患儿的手术基本情况、视觉模拟评分法(VAS)评分及并发症发生情况,并对比2组家属的心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]。结果相较于对照组,观察组患儿的尿道拔管时间和首次排便时间均更早,住院时间更短,并发症总发生率更低(P均<0.05)。观察组患儿在术后3 d、术后7 d及术后14 d的VAS评分均较同期对照组更低(P均<0.05),且2组在上述时间点的VAS评分均较术后1 d降低(P均<0.05)。观察组家属在护理14 d后的SAS和SDS评分均较对照组明显更低(P均<0.05),且2组家属在护理14 d后的评分均较护理前降低(P均<0.05)。结论对尿道下裂围手术期患儿实施COPE护理可明显促进其术后恢复,减轻其疼痛程度,降低并发症发生率,且缓解家属的不良情绪。Objective To explore the effect of nursing model of Creating Opportunities for Parent Empowerment(COPE)on the perioperative period of children with hypospadias and its impact on the psychological state of family members.Methods One hundred children with hypospadias admitted to Xiamen Maternal and Child Health Hospital from January 2020 to January 2023 were recruited,and their clinical data were retrospectively analyzed.The enrolled children were grouped using a random number table,with 50 cases in the control group receiving routine nursing and 50 cases in the observation group receiving routine nursing and COPE nursing.The basic surgical conditions,Visual Analogue Scale(VAS)scores,and incidence of complications were compared between the two groups of children,and the psychological state(Self-Rating Anxiety Scale[SAS]and Self-Rating Depression Scale[SDS]scores)were compared between the two groups of family members.Results Compared with the control group,the children of the observation group had shorter time to urethral catheter removal,time to first bowel movement,and length of hospital stay,as well as a lower overall incidence of complications(all P<0.05).The VAS scores of children in the observation group were lower than those in the control group at 3,7,and 14 days postoperatively(all P<0.05),and both groups had lower VAS scores at the above time points than at 1 day postoperatively(all P<0.05).The SAS and SDS scores of family members in the observation group were significantly lower than those in the control group after 14 days of nursing(both P<0.05),and both groups had lower scores after 14 days of nursing than before nursing(all P<0.05).Conclusion The COPE nursing for perioperative children with hypospadias can significantly promote their postoperative recovery,alleviate their pain,reduce the incidence of complications,and alleviate the negative emotions of family members.

关 键 词：小儿尿道下裂 创造父母赋权机会 围手术期护理 术后恢复效果 家属心理状态 

分 类 号：R473.72[医药卫生—护理学]