以家庭为中心的干预模式在经肛门改良Soave根治术治疗先天性巨结肠患儿中的应用效果  

Application effect of family centered intervention model in transanal modified Soave radical surgery for the treatment of children with congenital megacolon

作　　者：张超 付琦 高颖颖 ZHANG Chao;FU Qi;GAO Yingying(Pediatric Surgery Department,Anyang Maternal and Child Health Care Hospital,Anyang 455000,China)

机构地区：[1]安阳市妇幼保健院儿外科,河南安阳455000

出　　处：《临床医学研究与实践》2025年第10期138-141,共4页Clinical Research and Practice

摘　　要：目的探讨以家庭为中心的干预模式在经肛门改良Soave根治术治疗先天性巨结肠患儿中的应用效果。方法选择2021年10月至2023年1月于安阳市妇幼保健院就诊的122例先天性巨结肠患儿作为研究对象,根据随机数字表法将其分为对照组(61例)和观察组(61例)。两组患儿均进行经肛门改良Soave根治术,对照组给予临床常规护理,观察组采用以家庭为中心的护理模式。比较两组的干预效果。结果观察组患儿的排便优良率高于对照组(P<0.05)。干预后,两组患儿家属的疾病管理能力评分均升高,负面情绪评分均降低,且观察组优于对照组(P<0.05)。观察组患儿家属的护理满意度量表各维度评分高于对照组(P<0.05)。观察组患儿的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论以家庭为中心的干预模式在经肛门改良Soave根治术治疗先天性巨结肠患儿中的应用效果显著,可以增加患儿家属对疾病的了解程度,缓解其负面情绪,提高疾病管理能力和护理满意度,降低患儿术后并发症发生率。Objective To explore the application effect of family centered intervention model in transanal modified Soave radical surgery for the treatment of children with congenital megacolon.Methods A total of 122 children with congenital megacolon who were treated in Anyang Maternal and Child Health Care Hospital from October 2021 to January 2023 were selected as the research objects.According to the random number table method,the children were divided into control group(61 cases)and observation group(61 cases).Both groups were treated with transanal modified Soave radical surgery.The control group was given routine clinical nursing,while the observation group was given family centered intervention model.The intervention effects of the two groups were compared.Results The excellent rate of defecation in the observation group of children was higher than that in the control group(P<0.05).After intervention,the disease management ability score of the family members of the two groups increased,and the negative emotion score decreased,and those in the observation group were better than the control group(P<0.05).The scores of each dimension of nursing satisfaction scale of family members in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group of children was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The family centered intervention model has a significant application effect in transanal modified Soave radical surgery for the treatment of children with congenital megacolon.It can increase the understanding of the disease among the family members,alleviate their negative emotions,improve disease management ability and nursing satisfaction,and reduce the incidence of postoperative complications in children.

关 键 词：先天性巨结肠 经肛门改良Soave根治术 以家庭为中心的干预模式 

分 类 号：R473[医药卫生—护理学]