家属参与“合作式”护理模式对手术治疗血管瘤患儿术后恢复的影响分析  

The Impact of Family-Involved"Collaborative"Nursing Model on Postoperative Recovery in Children with Vascular Tumors

作　　者：田笑绮 胡光珍 张丹 李欣露 TIAN Xiaoqi;HU Guangzhen;ZHANG Dan;LI Xinlu(Department of Vascular Tumors,Henan Provincial People's Hospital,Key Laboratory of Nursing Science,Zhengzhou University People's Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]河南省人民医院血管瘤科,河南省护理医学重点实验室,郑州大学人民医院,河南郑州450003

出　　处：《临床研究》2025年第3期151-154,共4页Clinical Research

摘　　要：目的探究血管瘤患儿手术后,应用家属参与“合作式”护理模式的价值。方法选取河南省人民医院2023年2月至2024年2月期间收入的68例血管瘤患儿,基于乱数表法随机分为研究组(n=34),在常规护理的基础上采用家属参与“合作式”护理模式,对照组(n=34),单纯采用常规护理,分析其在住院恢复时间、疼痛情况、并发症发生情况的差异,以及家属对于护理的满意度、血管瘤知识认知情况以及相关负性情绪方面的异同。结果护理前,两组儿童疼痛行为量表评分比较,差异无统计学意义(P>0.05),护理后,研究组儿童疼痛行为量表评分低于对照组,住院恢复时间短于对照组,差异均有统计学意义(P<0.05)。研究组护理后并发症发生率显著低于对照组,差异具有统计学意义(P<0.05)。护理后,研究组知识认知情况较佳的例数高于对照组,知识认知情况一般、不理想的例数均低于对照组,差异均有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05),护理后,研究组SDS、SAS评分均低于对照组,差异有统计学意义(P<0.05)。结论血管瘤患儿经过手术后,应用家属参与“合作式”护理模式能够改善患儿恢复时间与术后疼痛感,降低并发症发生率,还能较大幅度的改善与提升其家属的满意度、知晓情况以及心理情绪,具有临床应用意义。Objective To explore the value of implementing a family-involved"collaborative"nursing model in the postoperative care of children with vascular tumors.Methods This study selected 68 children with vascular tumors admitted to Henan Provincial People's Hospital from February 2023 to February 2024.Patients were randomly assigned to the study group(n=34),who received standard care supplemented with the family-involved collaborative nursing model,and the control group(n=34),who received standard nursing care only.Differences in recovery time during hospitalization,pain levels,incidence of complications,and family members'satisfaction with nursing,their knowledge of vascular tumors,and related negative emotions were analyzed between the two groups.Results Before nursing care,there were no significant differences in pain behavior scores between the groups(P>0.05).After care,the pain behavior scores in the study group were lower than those in the control group,and their hospitalization recovery time was shorter,with statistically significant differences(P<0.05).The incidence of complications in the study group was significantly lower than in the control group after nursing(P<0.05).The number of cases with better knowledge recognition in the study group was higher than in the control group,while the number of cases with general/poor knowledge recognition was lower,with significant differences(P<0.05).Before nursing,the scores for the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)showed no significant differences between the two groups(P>0.05).However,after nursing,the SDS and SAS scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The implementation of a family-involved"collaborative"nursing model significantly improves recovery time and reduces postoperative pain in children with vascular tumors.It also enhances family satisfaction,knowledge of the condition,and psychological well-being,indicating its clinical application

关 键 词：家属参与“合作式”护理模式 血管瘤 疼痛 满意度 心理情绪 

分 类 号：R473.72[医药卫生—护理学]