摘要
目的 探讨目标管理联合快速康复外科护理在先天性巨结肠症(HD)患儿围术期康复中的应用效果。方法 选取医院2020年6月—2022年10月收治的150例HD患儿为研究对象,按照组间基线资料均衡可比的原则将患儿分为对照组和观察组,每组75例。对照组在患儿围术期行常规护理,观察组实施目标管理联合快速康复外科护理。比较两组患儿术后康复情况、营养不良评估筛查工具(STAMP)评分、手术并发症情况、Wong-Baker面部表情量表(FPS-R)评分、血清炎性因子指标、免疫功能指标。结果 开展目标管理联合快速康复外科护理后,观察组患儿术后住院时间、总住院时间、首次排便时间、拔除肛管时间、拔除胃管时间、拔除导尿管时间均短于对照组,差异有统计学意义(P<0.05)。干预后观察组STAMP得分低于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。术后1 d、术后3 d观察组患儿FPS-R评分低于对照组,差异有统计学意义(P组间<0.05)。干预后观察组患儿白介素-6(IL-6)、C反应蛋白(CRP)水平均低于对照组,免疫功能IgA、IgM、IgG指标均高于对照组,差异均有统计学意义(P<0.05)。结论 目标管理联合快速康复外科护理在HD患儿围术期的护理中取得满意效果,缩短了患儿的康复时间,改善了营养状态,降低了并发症发生率,还能够缓解术后疼痛、炎性反应,减少对患儿免疫功能指标的影响。
Objective To explore the application effect of goal management combined with enhanced recovery after surgery nursing on postoperative rehabilitation in children with Hirschsprung's disease(HD).Methods A total of 150 children with HD admitted to the hospital from June 2020 to October 2022 were selected as the research subjects.They were divided into a control group and an observation group,with 75 cases in each group,based on the principle of balanced and comparable baseline data between groups.The control group implemented routine nursing care during the perioperative period,while the observation group implemented goal management combined with enhanced recovery after surgery nursing.The differences in the postoperative recovery,Screening Tool for the Assessment of Malnutrition in Pediatrics(STAMP)scores,surgical complications,scores of Wong-Baker Faces Pain Scale Revision(FPS-R),serum inflammatory factor indicators,and immune function indicators between the two groups of children were compared.Results After the implementation of goal management combined with enhanced recovery after surgery nursing,the postoperative hospital stays,total hospital stays,the time to first bowel movement,and the time to remove anal tube,gastric tube,and urinary catheter of the children in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,the STAMP score in the observation group was lower than that in the control group,the incidence of complications was lower than that in the control group,and the differences were statistically significant(P<0.05).The FPS-R scores of the children in the observation group were lower than those of the control group on 1 day after surgery and 3 days after surgery,and the differences were statistically significant(P<0.05).After the intervention,the interleukin(IL-6)and C-reactive protein(CRP)levels of the children in the observation group were lower than those of the control group,the immune function IgA,IgM,and IgG
作者
魏艳艳
刘倩
马英鑫
赵苗苗
马君
赵明浩
WEI Yanyan;LIU Qian;MA Yingxin;ZHAO Miaomiao;MA Jun;ZHAO Minghao(Qilu Hospital of Shandong University,Jinan 250012,China)
出处
《护理实践与研究》
2024年第6期911-917,共7页
Nursing Practice and Research
关键词
目标管理
快速康复外科
早期营养护理
先天性巨结肠症
术后康复
并发症
Targeted management
Enhanced recovery after surgery
Early nutritional nursing
Hirschsprung's disease
Postoperative rehabilitation
Complications
