需求导向理念下美学护理对唇腭裂整复术患儿家属认知与美学修复满意度的影响  

Influence of Aesthetic Nursing Under the Concept of Demand Orientation on Improving the Parental Cognition and Aesthetic Repair Satisfaction in Children with Cleft Lip and Palate Repair

作　　者：辛磊 王岩 叶彬 李君 魏娟 潘瑞 相琼 XIN Lei;WANG Yan;YE Bin;LI Jun;WEI Juan;PAN Rui;XIANG Qiong(Pediatric Ward,2.Plastic Surgery Operating Room,3.Pediatric Intensive Care Unit,the First Affiliated Hospital of Air Force Medical University,Xi'an 710032,Shaanxi,China)

机构地区：[1]空军军医大学附属第一医院儿科病区,陕西西安710032 [2]空军军医大学附属第一医院整形手术室,陕西西安710032 [3]空军军医大学附属第一医院儿科监护室,陕西西安710032

出　　处：《中国美容医学》2024年第11期88-92,143,共6页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究需求导向理念下美学护理对改善唇腭裂(Cleft Lip/Palate,CLP)整复术患儿家属认知与美学修复满意度的影响。方法:选取2020年2月-2023年2月90例CLP整复术患儿,按照就诊顺序随机分为研究组和对照组各45例,对照组采用常规护理,研究组采用需求导向理念下的美学护理。对比两组患儿术后恢复情况(术后住院时间、创口愈合时间)、疼痛行为[儿童术后疼痛行为量表(The face,legs,activity,cry,and consolability scale,FLACC)]、睡眠质量[简明婴儿睡眠问卷(Brief infant sleep questionnaire,BISQ)]、家属心理状况[简式养育压力问卷(Parenting stress index,short form,PSI-SF)、正性负性情绪量表(Positive and negative affect schedule,PANAS)]、家属认知程度[疾病知识-态度-行为问卷(Knowledge,attitude,and behavior,KAB)]、并发症发生率及家属美学修复满意度[CLP评估量表(Cleft evaluation profile,CEP)]。结果:研究组术后住院时间、术后创口愈合时间均短于对照组(P<0.05)。术后8、16、32 h时,两组FLACC评分均降低,且研究组低于对照组(P<0.05)。术后7 d,两组夜间睡眠时长增加、白天睡眠时长减少、夜醒次数减少、夜醒时间缩短、入睡潜伏时间缩短,PSI-SF、PANAS负性情绪评分降低,PANAS正性情绪、KAB各项评分高升高;且研究组PSI-SF、PANAS负性情绪评分低于对照组,上述各项睡眠指标变化幅度、PANAS正性情绪、KAB评分高于对照组(P<0.05)。研究组与对照组并发症发生率比较差异无统计学意义(P>0.05)。研究组家属美学修复满意度高于对照组(P<0.05)。结论:需求导向理念下美学护理可减少CLP整复术患儿疼痛,缩短术后住院时间,促进伤口愈合,缓解家属育儿压力及负性情绪,改善家属认知、态度与行为,并提高其美学修复满意度。Objective To study the influence of aesthetic nursing under the concept of demand orientation on improving the parental cognition and aesthetic repair satisfaction in children with cleft lip and palate(CLP)repair.Methods 90 children with CLP repair from February 2020 to February 2023 were selected and randomly divided into study group and control group according to the order of treatment,with 45 cases in each group.The control group was given routine nursing while the study group adopted aesthetic nursing under the concept of demand orientation.The postoperative recovery conditions(postoperative hospital stay,wound healing time),pain behavior[face,legs,activity,cry and consolability scale(FLACC)],sleep quality[brief infant sleep questionnaire(BISQ)],psychological status of parents[parenting stress index-short form(PSI-SF),positive and negative affect scale(PANAS)],cognition level of parents[knowledge-attitude-behavior questionnaire(KAB)],incidence rates of complications and aesthetic repair satisfaction of parents[CLP evaluation profile(CEP)]were compared between both groups.Results The postoperative hospital stay and postoperative wound healing time in study group were shorter than those in control group(P<0.05).At 8 h,16 h and 32 h after surgery,the FLACC score in the two groups was decreased,and the score in study group was lower(P<0.05).At 7 d after surgery,the nighttime sleep duration was lengthened while the daytime sleep duration was shortened,the number of night wakings was decreased,the night waking time and sleep latency were shortened,the PSI-SF scores and PANAS negative emotion score were reduced while the PANAS positive emotion and KAB scores were risen,and the PSI-SF scores and PANAS negative emotion score in study group were lower than those in control group,and the changes of the above sleep indicators,PANAS positive emotion score and KAB scores were higher than those in control group(P<0.05).There were no significant differences in the incidence rates of complications between study group and cont

关 键 词：需求导向 唇腭裂 整复术 心理健康 美学修复 满意度 

分 类 号：R473.72[医药卫生—护理学]