摘要
目的探讨综合护理干预在头面部急诊美容清创缝合患儿中的应用效果.方法选取2020年11月—2021年11月于该院门诊行头面部急诊美容清创缝合术的患儿120例,按随机数字表法分为两组,各60例.对照组采取常规护理,观察组实施综合护理,两组均持续护理至手术结束.比较两组患儿配合度、应激反应水平、疼痛程度和家属满意度.结果两组术前收缩压、舒张压、心率、视觉模拟评分(VAS)比较,组间差异无统计学意义(P>0.05);观察组护理配合度为96.67%,高于对照组的86.67%,差异有统计学意义(P<0.05);观察组术后30 min收缩压(117.60±8.30)mmHg、舒张压(70.34±5.01)mmHg、心率(71.67±5.42)次/min均低于对照组的(125.67±8.34)mmHg、(75.84±5.06)mmHg、(80.68±5.46)次/min,组间差异有统计学意义(P<0.05);观察组护理后VAS评分(2.14±0.28)分低于对照组的(4.53±0.32)分,差异有统计学意义(P<0.05);观察组护理满意度中护理态度评分(86.78±3.24)分、操作技术评分(85.94±3.36)分、心理疏导评分(87.78±3.51)分、健康指导评分(85.53±3.62)分和整体护理水平评分(86.78±3.68)分,均高于对照组的(80.59±3.21)分、(81.54±3.32)分、(81.57±3.45)分、(80.96±3.57)分、(81.08±3.64)分,组间差异有统计学意义(P<0.05).结论综合护理干预能够提高头面部急诊美容清创缝合患儿配合度,降低应激反应水平和术后疼痛程度,促进患儿康复,从而提升家属满意度.
Objective To explore the application effect of comprehensive nursing intervention in children with head and face emergency cosmetic debridement and suture.Methods A total of 120 children who underwent emergency cosmetic debridement and suture of head and face in the outpatient department of this hospital from November 2020 to November 2021were selected and divided into two groups according to the random number table method,with 60 cases in each group.The control group received routine nursing,the observation group received comprehensive nursing,and both groups continued nursing until the end of the operation.The nursing cooperation degree,stress response level,pain degree and family satisfaction were compared between the two groups.Results There was no statistically significant difference in systolic blood pressure,diastolic blood pressure,heart rate and visual analogue scale(VAS)score between the two groups(P>0.05);the nursing cooperation degree of the observation group was 96.67%,which was higher than 86.67%of the control group,the difference was statistically significant(P<0.05);the systolic blood pressure(117.60±8.30)mmHg,diastolic blood pressure(70.34±5.01)mmHg,heart rate(71.67±5.42)times/min at 30 minutes after surgery in the observation group were all lower than(125.67±8.34)mmHg,(75.84±5.06)mmHg,(80.68±5.46)times/min in the control group,the differences between the groups were statistically significant(P<0.05);the VAS score(2.14±0.28)points after nursing in the observation group was significantly lower than(4.53±0.32)points in the control group,the difference was statistically significant(P<0.05);the nursing attitude score(86.78±3.24)points,operation technique score(85.94±3.36)points,psychological counseling score(87.78±3.51)points,health guidance score(85.53±3.62)points and overall nursing level score(86.78±3.68)points in nursing satisfaction in the observation group were higher than(80.59±3.21)points,(81.54±3.32)points,(81.57±3.45)points,(80.96±3.57)points and(81.08±3.64)points in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Comprehensive nursing intervention can improve the cooperation of children with head and face emergency cosmetic debridement and suture,reduce the level of stress response and postoperative pain,and promote the recovery of children,thereby improving the satisfaction of family members.
作者
王颖
张红君
WANG Ying;ZHANG Hongjun(Outpatient and Emergency Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100144,China;Ward C2,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100144,China)
出处
《反射疗法与康复医学》
2022年第7期95-99,共5页
Reflexology And Rehabilitation Medicine
关键词
美容清创缝合
围术期综合护理
配合度
应激反应
疼痛程度
满意度
Cosmetic debridement and suture
Perioperative comprehensive nursing
Cooperation degree
Stress response
Pain degree
Satisfaction
