摘要
目的探讨新型"360"健康教育模式在新生儿巨结肠保守治疗中的应用效果。方法选取2014年1月—12月巨结肠保守治疗患儿43例为观察组,均接受"360"健康教育。另选取2013年1月—12月巨结肠保守治疗患儿41例为对照组,均接受常规健康教育。对比2组患儿家属预手术期家庭护理能力、患儿术前一般情况及术前小肠结肠炎的发生率。结果观察组患儿家属预手术期家庭护理能力(91.22±1.93)分,高于对照组的(76.83±2.39)分,差异有统计学意义(P<0.01)。观察组患儿术前年龄、体质量、丙氨酸氨基转移酶(ALT)、天门冬氨酸转移酶(AST)水平显著低于对照组,营养评分显著高于对照组(P<0.05)。观察组患儿术前小肠结肠炎的发生率为2.32%,显著低于对照组的19.51%(P<0.05)。结论 "360"健康教育模式由医、护、患三方共同参与,有效提升新生儿巨结肠保守治疗患儿家属的家庭护理能力,为患儿术前准备奠定良好的基础。
Objective To evaluate the ＂360＂ health education mode in the conservative treatment for neonates with hirschsprung disease. Methods A total of 43 neonates with conservative therapy for hirschsprung disease from Jan 2014 to Dec 2014 were included as the observation group. The clinical data of another 41 neonates （as the control group） from Jan 2013 to Dec 2013 were retro- spectively analyzed, as the control group. The control group was given conventional health education, and the observation group was applied with ＂360＂ health education mode. Nursing ability of parents, general condition of neonates and enterocolitis morbidity before operation were compared between two groups. Results The overall score in assessment of nursing ability was （91.22 ± 1.93 ） in parents of the observation group and was （76.83 -＋2.39） in parents of the control group （P 〈0.01 ）. Before the operation, the observation group had younger age, less weight and lower levels of alanine aminotrans- ferase（ALT） and aspartate aminotransferase （AST） , but higher nutritional score, compared with the control group （P 〈 0.05） . The enterocolitis morbidity was 2.32% in the observation group, which was significant lower than 19.51% in the control group （P 〈0.05）. Conclusion The ＂360＂ health educa- tion was operated by doctors, nurses and the patients cooperatively. It can improve the domestic nursing ability of parents and provides foundation for late surgical treatment of neonates with hirschsprung disease .
出处
《中西医结合护理（中英文）》
2016年第3期10-12,共3页
Journal of Clinical Nursing in Practice
基金
开封市科学技术局科技计划项目(NO:1403114)
关键词
健康教育
新生儿巨结肠
保守治疗
护理能力
health education
neonates with hirschsprung disease
conservative treatment
nursing ability
