摘要
目的:探讨延续护理在小儿先天性巨结肠术后出院患儿中的应用及效果评价。方法:将118例小儿先天性巨结肠术后患儿随机分为对照组(n=56)与实验组(n=62)。对照组实施常规护理;实验组在常规护理的基础上实施了延续护理干预。延续护理的形式有微信平台、门诊随访、现场演示加手把手的操作指导、电话随访、健康宣传册等,包括的主要内容有巨结肠灌肠、扩肛、造瘘口护理、粪污和肛周护理、坐浴护理等资料和视频。结果:实验组的自我护理能力、健康知识知晓率、护理服务满意度高于对照组,差异有统计学意义(P<0.05);实验组出院后并发症发生率少于对照组,差异有统计学意义(P<0.05)。结论:小儿先天性巨结肠患儿出院后的延续护理干预,可以改善患儿家长的家庭护理能力,降低并发症,提高生活质量。
Objective:To investigate the application and effect of continuous nursing in discharged children after Hirschsprung s disease.Methods:A total of 118 discharged patients with Hirschsprung disease were randomly divided into the control group and the experimental group.In the control group,56 cases received routine nursing,while 62 cases in the experimental group received continuous nursing intervention on the basis of routine nursing.The form of continuous care was diversified,including WeChat platform,outpatient follow-up,on-site demonstration and hand handle guidance,telephone follow-up and health brochures.Informations including megacolon enema,anal enlargement,stoma care,fecal and perianal nursing,and sitting bath care relevance materials and videos were broadly educated.Results:The self-care ability,the awareness rate of health knowledge and the satisfaction of nursing service of the experimental group were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications in the experimental group was less than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The continuous nursing intervention of the children with congenital megacolon can improve the family nursing ability of the parents,reduce the complications and improve the quality of life.
作者
方艳丽
陈咏梅
黄艳
熊琼珍
黄文娇
FANG Yan-li;CHEN Yong-mei;HUANG Yan;XIONG Qiong-zhen;HUANG Wen-jiao(Second Integrated Ward,West China Hospital of Sichuan University,Chengdu 610041,Sichuan,China)
出处
《川北医学院学报》
CAS
2020年第1期170-172,共3页
Journal of North Sichuan Medical College
关键词
延续护理
小儿
先天性巨结肠
护理实践
Continuing nursing
Children
Congenital megacolon
Nursing practice
