基于沟通技巧的干预模式对急诊缝合患儿术中配合及伤口愈合的影响  

Effect of Intervention Model Based on Communication Skills on Intraoperative Cooperation and Wound Healing in Children with Emergency Suture

作　　者：李倩 刘丽丽[2] 黄柳明 李栓玲 高璐晨 王旭莹 宋楠[2] LI Qian;LIU Lili;HUANG Liuming;LI Shuanling;GAO Luchen;WANG Xuying;SONG Nan(Emergency Department,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Nursing Department,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Emergency Surgery,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]首都医科大学附属北京儿童医院急诊科,北京100045 [2]首都医科大学附属北京儿童医院护理部,北京100045 [3]首都医科大学附属北京儿童医院急诊外科,北京100045

出　　处：《中国美容医学》2025年第4期77-81,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究基于沟通技巧的干预模式对急诊缝合患儿术中配合及伤口愈合的影响。方法:选取2023年1月-2023年5月笔者医院收治的102例面部外伤急诊缝合患儿为研究对象,按随机抽签法分为进行常规干预的常规组(51例)和联合基于沟通技巧的干预模式干预的沟通技巧组(51例),均干预至患儿离院,并随访1个月。统计两组随访期间患儿伤口愈合情况、并发症发生情况,比较两组患儿术前、术后5 min焦虑情况、术中缝合配合度、缝合时间、随访1个月后瘢痕情况评价、家长缝合美观满意度、患儿复查依从性。结果:沟通技巧组缝合顺利情况优于常规组(P<0.05);两组伤口愈合等级比较差异无统计学意义(P>0.05)。两组患儿术后5 min mYPAS评分均低于术前5 min,沟通技巧组术前、术后5 min mYPAS评分均低于常规组(P<0.05);沟通技巧组患儿术中总配合率高于常规组,缝合时间短于常规组(P<0.05)。术后1个月,沟通技巧组患儿瘙痒、疼痛评分及医生评价的瘢痕扩张、肥大/萎缩、红斑、整体印象评分均低于常规组(P<0.05),家长总缝合美观满意率高于常规组(P<0.05)。沟通技巧组患儿总复查依从率高于常规组(P<0.05)。术后,两组并发症发生率比较差异无统计学意义(P>0.05)。结论:基于沟通技巧的干预模式对面部外伤急诊缝合患儿进行干预,可有效提高患儿术中配合度,降低患儿焦虑状态,缩短缝合时间,改善瘢痕情况,提高患儿家长缝合美观满意度及患儿复查依从性,同时有助于控制并发症的发生,具有较好的干预效果。Objective To explore the effect of intervention model based on communication skills on intraoperative cooperation and wound healing in children with emergency suture.Methods A total of 102 children with facial trauma who were admitted to the author's hospital for emergency suture from January 2023 to May 2023 were selected as the research objects.According to the random lottery method,they were divided into the conventional group with routine intervention(51 cases)and the communication skills group with communication skills-based intervention model intervention(51 cases).The wound healing and complications of the two groups during the follow-up period were counted.The anxiety before and 5 min after operation,intraoperative suture coordination,suture time,scar evaluation after 1 month of follow-up,parents'satisfaction with suture aesthetics,and children's review compliance were compared between the two groups.Results The success rate of suture in the communication skill group was better than that in the conventional group(P<0.05).There was no significant difference in wound healing grade between the two groups(P>0.05).The mYPAS scores of the two groups at 5 minutes after operation were lower than those at 5 minutes before operation,and the MYPAS scores of the communication skills group before and 5 minutes after operation were lower than those of the conventional group(P<0.05).The communication skill group had a higher total intraoperative cooperation rate and a shorter suture time than the conventional group(P<0.05).One month after operation,the children's pruritus and pain scores and the scores of scar expansion,hypertrophy/atrophy,erythema,and global impression evaluated by doctors in the communication skills group were significantly lower than those in the conventional group(P<0.05),and the parents'satisfaction rate with the general suture appearance was significantly higher than that in the conventional group(P<0.05).The communication skills group had a significantly higher total compliance rate of review tha

关 键 词：面部外伤 儿童 急诊 缝合 沟通技巧 术中配合 满意度 

分 类 号：R473[医药卫生—护理学]