结构化教育和麻醉复苏室陪同模式在行尿道成形术患儿中的应用效果  

Application effect of structured education and parent presence recovery program model in children undergoing urethroplasty

作　　者：杨仇晶 陈雪青[1] 顾娟[1] YANG Qiujing;CHEN Xueqing;GU Juan(Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127

出　　处：《中西医结合护理(中英文)》2025年第2期133-136,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨结构化教育和麻醉复苏室陪同(PPRP)模式在行尿道成形术患儿中的应用效果。方法2023年4~9月,上海交通大学医学院附属仁济医院收治了112例在骶管阻滞复合全身麻醉下行尿道成形术的患儿,采用随机数字表法将其分为观察组和对照组,每组56例。对照组患儿接受常规围手术期护理,观察组患儿基于常规围手术期护理接受术前结构化教育和术后PPRP模式。比较2组患儿的躁动倾向、疼痛程度、不良事件发生率,以及2组照护者的满意度。结果进入麻醉苏醒室(PACU)10 min、20 min和30 min后,观察组患儿的苏醒期躁动评分量表和五因素疼痛评估量表评分均低于同期对照组,且差异在统计学上均有意义(P均<0.05)。观察组患儿在PACU复苏全程中不良事件的总发生率略低于对照组,但差异无统计学意义(P>0.05)。术后第2天,观察组照护者的满意度评分高于对照组(P<0.05)。结论术前结构化教育和术后PPRP模式能减轻行尿道成形术患儿的躁动和疼痛程度,降低不良事件发生率,提高照护者的满意度。Objective To explore the application effect of structured education and parent presence recovery program(PPRP)model in children undergoing urethroplasty.Methods From April to September 2023,Renji Hospital,Shanghai Jiao Tong University School of Medicine received 112 children who underwent urethroplasty under caudal block combined with general anesthesia.They were randomly divided into an observation group and a control group using a random number table,with 56 cases in each group.The control group received routine perioperative nursing,while the observation group received preoperative structured education and postoperative PPRP model based on the routine perioperative nursing.The agitation tendency,pain intensity,incidence of adverse events of children,and satisfaction of caregivers were compared between the two groups.Results At 10,20,and 30 min after entering the postanesthesia care unit(PACU),the scores of the Pediatric Anesthesia Emergence Delirium Scale and the Faces,Legs,Activity,Cry,and Consolability Scale in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events during PACU emergence in the observation group was slightly lower than that in the control group,but the difference was not statistically significant(P>0.05).On the 2nd day after surgery,the satisfaction score of caregivers in the observation group was higher than that in the control group(P<0.05).Conclusion Preoperative structured education and postoperative PPRP model can alleviate the agitation and pain in children undergoing urethroplasty,reduce the incidence of adverse events,and improve the caregiver satisfaction.

关 键 词：尿道成型术 结构化教育 麻醉复苏室陪同模式 躁动 疼痛 

分 类 号：R473.6[医药卫生—护理学]