以患儿病情为特点的营养干预策略和健康教育在扁桃体切除患儿术后康复中的应用  

Application of nutrition intervention strategy and health education based on childrens condition in rehabilitation of children after tonsillectomy

作　　者：唐绮玲[1] 黄江霞 TANG Qiling;HUANG Jiangxia(Shenzhen Longgang Central Hospital,Shenzhen,Guangdong,518100,China)

机构地区：[1]深圳市龙岗中心医院,广东深圳518100

出　　处：《中西医结合护理(中英文)》2025年第2期77-80,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察以患儿病情为特点的营养干预策略和健康教育在行扁桃体切除术患儿术后康复中的应用效果。方法选取2023年3月至2024年3月在深圳市龙岗中心医院行扁桃体切除手术的100例患儿为研究对象,采用随机数字表法分为2组。对照组50例患者在术后采取常规护理,观察组50例患者在术后采取以患儿病情为特点的营养干预策略联合健康教育。比较2组的营养水平等情况。结果术后3 d和7 d,观察组的白蛋白和总蛋白水平,以及儿童抑郁量表和儿童焦虑情绪筛查量表评分均优于同期对照组(P均<0.05),且2组均优于手术当天(P均<0.05);术后7 d,2组均优于术后3 d(P均<0.05)。术后1 d和3 d,观察组的视觉模拟评分法评分均低于同期对照组,且2组均低于手术当天(P均<0.05);术后3 d,2组均低于术后1 d(P均<0.05)。观察组的切口愈合时间和切口白膜形成时间均早于对照组,并发症总发生率低于对照组,监护人护理满意率高于对照组(P均<0.05)。结论以患儿病情为特点的营养干预策略和健康教育能够改善行扁桃体切除术患儿的营养水平,缓解疼痛、焦虑和抑郁感,缩短切口愈合时间,降低并发症发生率,临床满意度较高。Objective To investigate the application of nutrition intervention strategy and health education based on children’s condition in the rehabilitation of children after tonsillectomy.Methods A total of 100 children who underwent tonsillectomy at Shenzhen Longgang Central Hospital from March 2023 to March 2024 were selected as the study subjects.These subjects were divided into two groups by means of a random number table.After surgery,50 patients in the control group received routine nursing,and 50 patients in the observation group received nutrition intervention strategy and health education based on children’s condition.The nutritional levels and other indicators of the two groups were compared.Results At 3 and 7 days after surgery,the levels of albumin and total protein,as well as the scores of the children’s Depression Inventory and the Screen for Child Anxiety Related Disorders in the observation group were better than those in the control group(P<0.05),and both groups performed better than those on the day of surgery(P<0.05).At 7 days after surgery,both groups performed better than those at 3 days after surgery(P<0.05).At 1 and 3 days after surgery,the Visual Analogue Scale scores of the observation group were lower than those of the control group,and both groups achieved lower scores than those on the day of surgery(P<0.05).At 3 days after surgery,both groups achieved lower scores than those at 1 days after surgery(P<0.05).The incision healing time and white membrane formation time in the observation group were shorter than those in the control group(P<0.05).The total complication rate was lower than that in the control group,and the nursing satisfaction rate of guardians was higher than that in the control group(P<0.05).Conclusion Nutrition intervention strategy and health education based on children’s condition can improve the nutritional level of children after tonsillectomy,relieve their pain,anxiety and depression,shorten the incision healing time,reduce the complication rate,with high clinical

关 键 词：扁桃体切除术 以病情为特点 营养干预 健康教育 营养水平 

分 类 号：R473.72[医药卫生—护理学]