阶段性教育护理模式干预对阑尾炎手术患儿心理状态的影响  

Effect of Staged Educational Nursing Model Intervention on the Psychological State of Children with Appendicitis Surgery

作　　者：付品佳 周凌云 Fu Pinjia;Zhou Lingyun(Department of Pediatric Surgery,Women and Children’s Hospital,Zhumadian City Center Hospital,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中心医院妇女儿童医院小儿外科,河南驻马店463000 [2]河南省人民医院(河南省生殖健康科学技术研究院),河南郑州450003

出　　处：《黑龙江医学》2024年第19期2416-2418,共3页Heilongjiang Medical Journal

基　　金：河南省属科研院所基本科研业务费专项基金项目(JBKY2022003)。

摘　　要：目的:分析阶段性教育护理模式干预在阑尾炎手术患儿中的应用价值,以期为临床完善护理措施提供思路。方法:回顾性分析2023年5月—2024年3月驻马店市中心医院妇女儿童医院97例行阑尾炎手术患儿的临床资料,按照干预方案不同分为阶段组(n=49)和对照组(n=48)。对照组患儿接受常规护理干预,阶段组患儿基于对照组加用阶段性教育护理模式干预。观察两组患儿并发症状况、患儿家属健康知识掌握度、患儿心理状况[改良耶鲁围手术期焦虑量表(m YPAS)]、患儿家属护理满意度、wong baker面部表情量表评分。结果:对比两组患儿家属知识掌握度,阶段组高于对照组,差异有统计学意义(χ^(2)=4.547,P<0.05);麻醉诱导室等待时、术后6 h,阶段组患儿mYPAS评分低于对照组,差异有统计学意义(t=7.833、12.449,P<0.05);术后6 h、术后12 h、术后24 h,阶段组患儿痛程度评分低于对照组,差异有统计学意义(t=9.504、10.234、11.449,P<0.05);阶段组患儿并发症发生率低于对照组,差异有统计学意义(χ^(2)=5.626,P<0.05);阶段组患儿家属护理满意度高于对照组,差异有统计学意义(χ^(2)=4.552,P<0.05)。结论:阶段性教育护理模式干预应用至阑尾炎手术患儿,有助于减少并发症发生,缓解负性情绪,减轻疼痛,同时提高家属知识掌握度与护理满意度。Objective:To analyze the application value of staged educational nursing model intervention in children under appendicitis surgery,so as to provide ideas for clinical improvement of nursing measures.Methods:This study conducted a retrospective research method to collect 97 children who underwent appendicitis surgery in the hospital from May 2023 to March 2024.They were divided into stage group(49 cases)and control group(48 cases)according to different intervention programmes.Control group received conventional nursing intervention,and stage group received intervention based on the control group with the addition of stage-based educational nursing model.Complications,the mastery of health knowledge of the family members,the psychological status of the children[modified Yale Perioperative Anxiety Scale(mYPAS)],the family’s satisfaction with nursing care,and the scores of wong baker facial expression scale of two groups were compared.Results:Compared with the two groups,the stage group was higher than the control group,and the difference was statistically significant(χ^(2)=4.547,P<0.05).MYPAS scores of the two groups were compared while waiting in the anesthesia induction room and 6 h after surgery.MYPAS scores of the stage group were lower than those of the control group,and the difference was statistically significant(t=7.833,12.449;P<0.05).6 h,12 h and 24 h after surgery,the pain degree score of stage group was lower than that of control group,and the difference was statistically significant(t=9.504,10.234,11.449;P<0.05).The complication rate of stage group was lower than that of control group,and the difference was statistically significant(χ^(2)=5.626;P<0.05).The nursing satisfaction of family members in stage group was higher than that in control group,and the difference was statistically significant(χ^(2)=4.552,P<0.05).Conclusion:Stage-based educational nursing model interventions applied to children undergoing appendicitis surgery can help to reduce the incidence of complications,alleviate negative emot

关 键 词：阶段性教育护理模式 阑尾炎 小儿 心理状况 

分 类 号：R726[医药卫生—儿科]