摘要
目的:观察循证理念指导下护士-家长协同干预策略在唇腭裂术后护理中的应用效果。方法:选取2021年6月-2022年12月笔者科室收治的90例拟行唇腭裂术患儿,采用随机数字表法分为观察组(n=45)和对照组(n=45)。对照组给予常规术后护理,观察组在对照组基础上引进循证理念指导的护士-家长协同干预策略,两组均持续干预3个月。观察两组患儿术后恢复情况、疼痛程度、应对方式、康复依从性及并发症发生情况。邀请家属对护理模式进行满意度评价。结果:干预后,观察组住院时间、伤口愈合时间均短于对照组,术后72 h、7 d的疼痛评分低于对照组(P<0.05);观察组消极应对因子评分低于对照组,积极应对因子评分高于对照组(P<0.05);观察组Frankl治疗依从性量表评分高于对照组(P<0.05);观察组术后总并发症发生率与对照组比较差异无统计学意义(P<0.05)。结论:循证理念指导下护士-家长协同干预策略的引进可有效提高唇腭裂患儿术后护理效果,改善患儿应对方式和康复依从性,促进患儿术后恢复,提升护理满意度。
Objective To observe the application effect of nurse-parent collaborative intervention strategy based on evidencebased concept in postoperative nursing of cleft lip and palate. Methods A total of 90 children undergoing elective cleft lip and palate surgery in the author's hospital were enrolled between June 2021 and December 2022.According to random number table method,they were divided into observation group(n=45) and control group(n=45).The control group was given routine postoperative nursing,while observation group was additionally given nurse-parent collaborative intervention strategy based on evidence-based concept.All were intervened for 3 months.The postoperative recovery,pain degree,coping styles,rehabilitation compliance and complications in the two groups were observed.The satisfaction of family members with nursing mode was evaluated. Results After intervention,hospitalization time and healing time in observation group were shorter than those in control group(P<0.05),and pain score were lower than those in control group at 72 h and 7 d after surgery(P<0.05).The score of negative coping in observation group was lower than that in control group,and score of positive coping was higher than that in control group(P<0.05).The score of Frankl treatment compliance scale in observation group was higher than that in control group(P<0.05).There was no significant difference in total incidence of postoperative complications between observation group and control group(P>0.05). Conclusion The nurse-parent collaborative intervention strategy based on evidence-based concept can effectively improve postoperative nursing effect in children with cleft lip and palate,improve coping styles and rehabilitation compliance,promote postoperative recovery and improve nursing satisfaction.
作者
杜琳
马蕾
眭婕
张朦
DU Lin;MA Lei;SUI Jie;ZHANG Meng(Department of Burn and Plastic Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China)
出处
《中国美容医学》
CAS
2024年第3期162-166,共5页
Chinese Journal of Aesthetic Medicine
关键词
循证理念
护士-家长协同
唇腭裂
术后护理
干预策略
evidence-based concept
nurse-parent collaboration
cleft lip and palate
postoperative nursing
intervention strategy
