摘要
目的探讨医护一体化模式在小儿发育性髋关节脱位(DDH)疼痛管理中的应用效果。方法62例发育性髋关节脱位(DDH)患儿分为对照组和观察组,各31例。2组患儿均采用统一的术中麻醉和术后镇痛方法。对照组给予常规护理,观察组在对照组基础上实施基于医护一体化模式的疼痛管理。采用东安大略儿童医院疼痛评分量表(CHEOPS)评估患儿术后疼痛,采用焦虑自评量表(SAS)评价患儿照顾者负性情绪,采用自制量表评价患儿照顾者疼痛相关知识的知晓情况。结果术后不同时间点时2组患儿镇痛效果明显,但组间差异无统计学意义(P>0.05)。术后24h和术后7d时,观察组患儿照顾者SAS评分低于对照组患儿照顾者,差异有统计学意义(P<0.01)。干预后,观察组患儿照顾者疼痛相关知识的知晓率高于对照组患儿照顾者,差异有统计学意义(P<0.05)。结论医护一体化模式有助于减轻DDH患儿家属的焦虑程度,提高患儿家属对术后疼痛管理的认知。
Objective To investigate the effect of doctor-nurse cooperation model in pain control after surgery for developmental dysplasia of the hip (DDH) in children.Methods Totally 62 pediatric patients undergoing surgical treatment for DDH were assigned to the control group and the observation group,with 31 cases in each group.Pediatric patients of both two groups received same anaesthetic management and conventional care after surgery,and health education based on doctor-nurse cooperation model were carried out in the observation group.The postoperative pain level was evaluated by Children's Hospital of Eastern Ontario Pain Scale (CHEOPS).The negative emotion and awareness of postoperative pain management among children's caregivers were assessed by Self-rating Anxiety Scale and self-made pain-related knowledge scale,respectively.Results There was no significant difference in CHEOPS score between two group at any time point after surgery(P>0.05).At 24 hours and 1 week after surgery,the SAS score of children's caregivers in the observation group was lower than that of children's caregivers in the control group,respectively (P<0.01).the caregivers' awareness rate of pain-related knowledge in the control group was higher than that in the control group (P<0.05).Conclusion Interventions based on doctor-nurse cooperation model are effective to reduce the pain level of children requiring surgery for DDH,relieve the anxiety of their parents and improve the parents’ awareness about pain-related knowledge.
作者
岳一婷
郭锦丽
YUE Yiting;GUO Jinli(Fenyang College of Shanxi Medical University,Fenyang,Shanxi,032200;Department of Nursing,The Second Hospital of Shanxi Medical University,Taiyuan,Shanxi,030001)
出处
《中西医结合护理（中英文）》
2019年第8期102-105,共4页
Journal of Clinical Nursing in Practice
基金
山西省卫生与计划生育委员会科研项目(2018053)
关键词
医护一体化
疼痛
发育性髋关节脱位
疾病认知
焦虑
照顾者
doctor-nurse cooperation model
pain
developmental dysplasia of the hip
disease awareness
anxiety
