摘要
目的探讨家庭参与护理(FIC)模式对肠造口患儿术后转归及其照顾者的影响。方法选取2017年8月至2018年8月湖南省儿童医院收治的50例肠造口术后患儿及50位患儿家属作为研究对象,根据随机数字表,将患儿及其家属分为对照组和观察组,每组各25对。对照组给予常规护理模式进行干预,观察组给予FIC模式进行干预。利用造口并发症发生率和再入院率评价患儿术后转归。利用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估家属心理状态。利用肠造口术后照护知识评价表评估家属肠造口术后照护知识掌握程度。结果观察组患儿造口并发症发生率为8.70%(2/23),低于对照组的34.78%(8/23),差异有统计学意义(χ^2=4.600,P<0.05);观察组患儿再入院率为0(0/23),低于对照组的17.39%(4/23),差异有统计学意义(χ^2=4.381,P<0.05)。经过干预后,2组患儿家属SAS、SDS评分均低于干预前,且观察组患儿家属SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。出院前和随访3个月时,观察组患儿家属肠造口术后照护知识评价表得分均高于对照组,差异有统计学意义(P<0.05)。结论FIC模式可有效降低肠造口患儿并发症发生率和再入院率,对于改善患儿家属负性情绪,提高肠造口术后照护知识掌握程度具有积极的意义。
Objective To investigate the effects of family-integrated care (FIC) on postoperative outcomes in children with enterostomy and their caregivers.Methods From August 2017 to August 2018,50 children with enterostomy and 50 family members of the Children′s Hospital of Hunan Province were selected as subjects.According to the random number table,the children and their families were divided into control group and the observation group,each group was 25 cases.The control group was given a routine nursing mode to intervene,and the observation group was given an FIC mode for intervention.Postoperative outcomes were evaluated using the incidence of ostomy complications and readmission rates.The pre-intervention and outpatient follow-up were used to assess the psychological status of the family members using the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS),and to assess the postoperative care of the family's intestines using the postoperative evaluation of the postoperative intestines.The level of knowledge mastery.The self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to assess the psychological state of the family members,and the postoperative care knowledge evaluation form for the postpartum was used to evaluate the postoperative care of the family.Results The incidence of ostomy complications in the observation group was 8.70%(2/23),which was lower than that in the control group (34.78%(8/23)(P<0.05).The readmission rate of the observation group was 0(0/23),which was lower than the control group 17.39%(4/23)(P<0.05).After intervention,the SAS scores and SDS scores of the families of the two groups were lower than those before the intervention,and the SAS scores and SDS scores of the observation group were lower than the control group(P<0.05).Before discharge and 3months of follow-up,the scores of postoperative care knowledge evaluation scores of the observation group were higher than those of the control group(P<0.05).Conclusions FIC mode can effectively
作者
阳惠
徐晓丽
胡莎
颜小娟
何秀云
Yang Hui;Xu Xiaoli;Hu Sha;Yan Xiaojuan;He Xiuyun(Department of Fetal and Neonatal Surgery,Hunan Children′s Hospital,Changsha Hunan 410007,China)
出处
《中国实用护理杂志》
2019年第24期1893-1897,共5页
Chinese Journal of Practical Nursing
关键词
家庭参与护理
肠造口术
小儿
术后转归
负性情绪
Family-integrated care
Enterostomy
Pediatric
Postoperative outcome
Negative emotion
