摘要
目的探讨舒适护理在儿童支气管镜检查术中的应用及其对满意度的影响。方法选择2018年1月—2019年6月在上海交通大学医学院附属新华医院儿呼吸内科行支气管镜检查术的患儿240例,按照手术时间先后顺序将其分为对照组和观察组,每组120例;对照组采用常规护理,观察组实施舒适护理;比较2组患儿改良耶鲁围手术期焦虑量表(modified Yale perioperative anxiety scale,m-YPAS)评分、术后当天并发症发生情况及患儿家属对专科护理工作的满意度。结果观察组患儿在术前访视(T1)、入手术室(T2)及术后3 h(T3)3个时间点的m-YPAS评分均低于对照组(P<0.05)。观察组患儿术后当天喉头水肿、发绀、出血及发热的并发症发生率(10.0%)明显低于对照组(20.8%)(P<0.05)。观察组家属对心理支持、护患沟通、主动服务、护理技能、健康教育及并发症预防的护理满意率均显著高于对照组(P<0.05)。结论在儿童支气管镜检查术中开展舒适护理,能够减轻患儿围手术期焦虑情绪,降低术后并发症发生率,提高家属对专科护理工作的满意度。
Objective To explore the application of comfort care to children bronchoscopy and its influence on nursing satisfaction.Methods A total of 240 pediatric patients who underwent bronchoscopy were selected in Pediatric Respiratory Department of Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,from January 2018 to June 2019.They were divided into control group and observation group according to the sequence of their operation time.Each group included 120 children.The control group patients received routine nursing,while the observation group received comfort nursing.We compared the modified Yale perioperative anxiety scale(m-YPAS)scores,postoperative complications,and caregivers'satisfaction with specialized care before and after nursing.Results The m-YPAS scores of children in the observation group at three time points including preoperative visit(T1),entering operation room(T2)and 3 h after operation(T3)were significantly lower than those in the control group(P<0.05).The complication rate of laryngeal edema,cyanosis,hemorrhage,and fever in the observation group was significantly lower than that in the control group(10.0%vs 20.8%,P<0.05).The nursing satisfaction of caregivers in the observation group was higher than that in the control group in psychological support,nurse-patient communication,active service,nursing skills,health education,and prevention of complications(P<0.05).Conclusion Comfort nursing during children bronchoscopy can reduce perioperative anxiety and postoperative complications,and improve the satisfaction of caregivers with specialized nursing work.
作者
马燕
禹悦
华丽
王利维
MA Yan;YU Yue;HUA Li;WANG Liwei(Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China)
出处
《教育生物学杂志》
2021年第4期303-306,共4页
Journal of Bio-education
基金
上海市护理学会科研课题(2019MS-B11)
上海市卫健委青年项目(20164Y0136)。
