小丑照护对唇腭裂伴牙槽突裂患儿及其照顾者干预效果的影响  

Effect of Clown Care on Intervention of Children with Cleft Lip and Palate with Cleft Alveolar Process and Their Caregivers

作　　者：徐筱璐 胡万娟 戚利莉[1] 张瑾 张然 史亚伟[1] XU Xiaolu;HU Wanjuan;QI Lili;ZHANG Jin;ZHANG Ran;SHI Yawei(Department of Oral and Maxillofacial Surgery,the Affiliated Stomatological Hospital of Nanjing Medical University(Jiangsu Provincial Stomatology Hospital),Nanjing 210009,Jiangsu,China)

机构地区：[1]南京医科大学附属口腔医院(江苏省口腔医院)口腔颌面外科,江苏南京210009

出　　处：《中国美容医学》2024年第9期161-166,共6页Chinese Journal of Aesthetic Medicine

基　　金：江苏省科教能力提升工程—江苏省研究型医院建设单位项目(编号:YJXYYJSDW4);江苏省医学创新中心项目(编号:CXZX202227)。

摘　　要：目的:探索小丑照护对唇腭裂伴牙槽突裂患儿及其照顾者干预效果的影响。方法:选取笔者医院2021年6月-2022年12月收治的行唇腭裂伴牙槽突裂手术患儿104例,对照组实施围术期常规护理,术后1个月内进行常规电话随访,观察组实施基于小丑照护理念的干预方案,分为入院至术前1天、手术当天、术后第1天至出院、出院后1个月共4个阶段,评价干预后患儿的疼痛程度、焦虑情绪、生活质量、手术并发症发生情况、患儿及其照顾者的焦虑情绪。结果:术后第3、5天,观察组患儿疼痛评分均低于对照组(P<0.05);术后第7天,观察组患儿及其家属焦虑评分均低于对照组(P<0.05);干预后,观察组患儿生活质量评分高于对照组(P<0.05);观察组总并发症发生率低于对照组(P<0.05)。结论:小丑照护能有效减轻唇腭裂伴牙槽突裂患儿术后疼痛,提高患儿生活质量,缓解患儿及其家属的焦虑情绪,促进疾病的恢复。Objective To explore the effect of clown care on the children with cleft lip and palate with cleft alveolar process and their caregivers.Methods A total of 104 children who received cleft lip and palate surgery with cleft alveolar process in the author's hospital from June 2021 to December 2022 were selected.The control group received perioperative routine nursing,routine telephone follow-up was conducted one month after surgery,and the observation group received intervention plan based on clown care concept.The patients were divided into four stages:from admission to 1 day before surgery,the day of surgery,the day after surgery to discharge,and 1 month after discharge.The pain degree,anxiety,quality of life,occurrence of surgical complications,anxiety of the children and their caregivers after the intervention were evaluated.Results On the 3rd and 5th day after surgery,the pain scores in the observation group were lower than those in the control group(P<0.05).On the 7th day after surgery,the anxiety scores in the observation group and their families were lower than those in the control group(P<0.05).After intervention,the quality of life score in observation group was higher than that in control group(P<0.05).The total complication rate of observation group was lower than that of control group(P<0.05).Conclusion Clown care can effectively reduce the postoperative pain of children with cleft lip and palate combined with alveolar cleft,improve the quality of life of the children,relieve the anxiety of the children and their families,and promote the recovery of the disease.

关 键 词：唇腭裂 牙槽突裂 小丑照护 儿童 家庭照顾者 

分 类 号：R473.6[医药卫生—护理学]