基于目标策略的针对性护理干预在疝气患儿术后的应用  

Application of Target Strategy Targeted Nursing Intervention in Children with Hernia After Operation

作　　者：刘圆方 段永福[1] 周晓波[1] 王冠涛 姚丹丹 赵东征[1] 马洋[1] 赵成鹏[1] LIU Yuanfang;DUAN Yongfu;ZHOU Xiaobo;WANG Guantao;YAO Dandan;ZHAO Dongzheng;MA Yang;ZHAO Chengpeng(Department of Pediatric Surgery,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院儿童外科,河南南阳473000

出　　处：《河南医学研究》2025年第3期551-555,共5页Henan Medical Research

摘　　要：目的 分析基于目标策略的针对性护理干预在疝气中的临床应用价值。方法 收集南阳市中心医院2021年12月至2023年12月收治的120例疝气患儿,1∶1匹配设计按护理方法分为目标策略组(60例)和常规组(60例),常规组接受常规护理,目标策略组在常规护理基础上接受基于目标策略的针对性护理干预。比较两组术后恢复情况、治疗依从性、并发症发生情况、生活质量[儿童生存质量测定量表系列(PedsQL)4.0]、家属满意度(纽卡斯尔护理满意度量表)。结果 目标策略组苏醒、肠道排气、住院时间均短于常规组(P<0.05);目标策略组治疗依从性优良率较常规组高(P<0.05);两组并发症发生情况比较,差异无统计学意义(P>0.05);干预后,目标策略组PedsQL评分较常规组高(P<0.05);目标策略组家属满意度(100.00%)高于常规组(90.00%)(P<0.05)。结论 对疝气患儿实施基于目标策略的针对性护理干预,能提高治疗依从性,改善术后恢复情况,提高生活质量、家属满意度。Objective To analyze the clinical application value of target strategy targeted nursing intervention in hernia.Methods A total of 120 cases of children with hernia in Nanyang Central Hospital from December 2021 to December 2023 were collected.According to the nursing methods,the 1∶1 matching design was divided into target strategy group(60 cases)and routine group(60 cases).The routine group received routine nursing,and the target strategy group received targeted nursing intervention based on the target strategy.The postoperative recovery,treatment compliance,complications,quality of life[the pediatric quality of life inventory measurement models(PedsQL)4.0]and family satisfaction(Newcastle satisfaction with nursing scale)were compared between the two groups.Results The recovery,intestinal exhaust and hospitalization time of the target strategy group were shorter than those of the conventional group(P<0.05).The excellent and good rate of treatment compliance in the target strategy group(98.33%)was higher than that in the conventional group(86.67%)(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).After the intervention,the PedsQL score of the target strategy group was higher than that of the conventional group(P<0.05).The satisfaction of family members in the target strategy group(100.00%)was higher than that in the conventional group(90.00%)(P<0.05).Conclusion The implementation of targeted nursing intervention in children with hernia can improve treatment compliance,postoperative recovery,quality of life and family satisfaction.

关 键 词：疝气 目标策略 针对性护理 并发症 生活质量 

分 类 号：R473.72[医药卫生—护理学]