摘要
目的探讨精细化护理对腹股沟疝修补术患儿及其父母心理压力和社会支持的影响。方法选取2016年3月~2017年12月河北医科大学第一医院就诊的腹股沟疝修补术患儿104例及父母104名作为研究对象,按照随机数字表法将其分为观察组和对照组,每组52例。对照组患儿实行常规护理,观察组患儿实行精细化护理。通过比较干预前后两组患儿手术时间及出血量、护理总满意度、并发症发生情况,患儿父母汉密尔顿焦虑量表(HAMA)和社会支持评定量表,评估精细化护理对患儿及其父母的影响。结果干预后,观察组患儿手术时间、出血量、并发症发生率均低于对照组(P <0.05);观察组护理总满意度明显高于对照组(P <0.05);干预后,两组患儿父母压力评分均低于干预前,且观察组低于对照组(P <0.05);干预后,两组患儿父母社会支持得分均高于干预前,且观察组高于对照组(P <0.05)。结论精细化护理可显著缩短腹股沟疝修补术患儿的手术时间,减少出血量及术后并发症,并有效缓解患儿父母的心理压力,提高其社会支持。
Objective To investigate the effect of refined nursing on parents′ psychological stress and social support in patients with inguinal hernia repair and their parents. Methods A total of 104 children with inguinal hernia repair and104 parents who visited the First Hospital of Hebei Medical University from March 2016 to December 2017 were selected as the study subjects. According to the random number table method, they were divided into the observation group and the control group, with 52 children in each group. The control group received routine care and the observation group implemented refined nursing. The influence of intensive care on children and their parents was evaluated by comparing the operation time, bleeding volume, total nursing satisfaction, complications, parents′ Hamilton anxiety(HAMA) scale and social support scale before and after the intervention. Results The operation time, bleeding volume and complication rate of the observation group were lower than those of the control group(P < 0.05). The total nursing satisfaction of the observation group was significantly higher than that of the control group(P < 0.05). After the intervention, the parental stress scores of both groups were lower than before the intervention, and the observation group was lower than the control group(P < 0.05). After the intervention, the social support scores of parents in both groups were higher than before the intervention, and the observation group was higher than the control group(P < 0.05). Conclusion Meticulous nursing can significantly shorten the operation time, reduce the amount of bleeding and postoperative complications, and effectively relieve the psychological pressure of parents and improve their social support.
作者
胡毅平
孙丽丽
陈红
陈春菊
郭阳勃
宋晨冰
高金玲
HU Yiping;SUN Lili;CHEN Hong;CHEN Chunju;GUO Yangbo;SONG Chen bing;GAO Jinling(Department of General Surgery,the First Hospital of Hebei Medical University,Hebei Province,Shijiazhuang 050000,China;Department of Nursing,the First Hospital of Hebei Medical University,Hebei Province,Shijiazhuang 050000,China)
出处
《中国医药导报》
CAS
2020年第10期185-188,共4页
China Medical Herald
基金
河北省医学科学研究重点计划项目(20180228)。
关键词
精细化护理
腹股沟疝修补术
心理压力
社会支持
Refined nursing
Inguinal hernia repair
Psychological stress
Social support
