整体护理在小儿肠套叠围术期护理中的应用效果(1)
[摘要]目的 探讨整体护理在小儿肠套叠围术期护理中的应用效果。方法 选取2016年1月～2017年1月我院收治的60例肠套叠患儿作为研究对象，随机分为对照组和研究组，每组各30例。对照组围术期应用常规护理，研究组应用整体护理。比较分析两组患儿护理后的护理满意度、生活质量及术后并发症情况。结果 研究组患儿护理后的总满意度为96.67%，明显高于对照组的70.00%，差异有统计学意义(P<0.05)；研究组患儿护理后的躯体活动、精力、睡眠、疼痛、社会生活及情感评分均低于对照组，差异有统计学意义(P<0.05)；研究组患儿护理后的并发症总发生率为3.33%，明显低于对照组的20.00%，差异有统计学意义(P<0.05)。结论 应用整体护理对肠套叠患儿进行护理，可加强围术期管理，改善护理服務质量，提高患儿及家属的满意度，改善患儿的生活质量，降低术后并发症的发生风险，有利于患儿预后，值得临床大力推广。
[关键词]肠套叠；围术期；护理方法；护理观察
[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721(2018)11(b)-0203-03
[Abstract] Objective To explore the applicationeffect of holistic nursing in perioperative nursing care of children with intussusception. Methods A total of 60 cases of children with intussusception treated in our hospital from January 2016 to October 2017 were selected as the subjects， and randomly divided into the control group and the study group， with 30 cases in each group. The control group received routine nursing during the perioperative period， while the study group received holistic nursing. The nursing satisfaction， quality of life and postoperative complications of the two groups after nursing were compared and analyzed. Results The total satisfaction rate of the study group after nursing was 96.67%， which was significantly higher than that of the control group (70.00%)， and the differences were statistically significant (P<0.05). The body activity， energy， sleep， pain， social life and emotion scores after nursing care in the study group were significantly lower than those in the control group， and the difference was statistically significant (P<0.05). The total complication rate of the study group after nursing was 3.33%， which was significantly lower than that of the control group (20.00%)， and the differences were statistically significant (P<0.05). Conclusion Nursing care for children with intussusception in our hospital， strengthening perioperative management， can improve the quality of nursing service， improve the satisfaction of children and their families， improve the quality of life of children， reduce the risk of postoperative complications， which is beneficial to the prognosis of children， and should be widely used in clinical practice.
[Key words] Intussusception； Perioperative period； Nursing method； Nursing observation
肠套叠是指一段肠管套入与其相连的肠腔内，并阻碍肠内物质通过的症状。其主要分为原发性和继发性两类，原发性肠套叠多发生于婴幼儿，尤其是婴幼儿在添加辅食的年龄，可因肠蠕动紊乱而发生肠套叠[1-2]。在套叠时间较长或套入肠管较长时，系膜血管的循环受到障碍而发生肠坏死，危及患儿的生命[3]。临床上经常应用生理盐水或钡剂进行灌肠进行治疗，但是灌肠的方法常会失败，使得患儿需要进行手术治疗[4]。研究表明，在患儿围手术期进行有效的护理，可以明显提高手术的成功率、提高安全性和舒适性，改善手术治疗效果[5]。整体护理是一种新兴的护理工作模式，护理人员除了应加强对患儿自身的关注外，还需要把注意力放到患儿所处的环境、心理状态、物理因素等对疾病康复的影响因素上，该模式受到了医护人员的青睐[6]。本研究选取我院收治的60例肠套叠患儿作为研究对象，旨在探讨整体护理在小儿肠套叠围术期护理中的应用效果，现报道如下。, http://www.100md.com(蒋丽)
[关键词]肠套叠；围术期；护理方法；护理观察
[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721(2018)11(b)-0203-03
[Abstract] Objective To explore the applicationeffect of holistic nursing in perioperative nursing care of children with intussusception. Methods A total of 60 cases of children with intussusception treated in our hospital from January 2016 to October 2017 were selected as the subjects， and randomly divided into the control group and the study group， with 30 cases in each group. The control group received routine nursing during the perioperative period， while the study group received holistic nursing. The nursing satisfaction， quality of life and postoperative complications of the two groups after nursing were compared and analyzed. Results The total satisfaction rate of the study group after nursing was 96.67%， which was significantly higher than that of the control group (70.00%)， and the differences were statistically significant (P<0.05). The body activity， energy， sleep， pain， social life and emotion scores after nursing care in the study group were significantly lower than those in the control group， and the difference was statistically significant (P<0.05). The total complication rate of the study group after nursing was 3.33%， which was significantly lower than that of the control group (20.00%)， and the differences were statistically significant (P<0.05). Conclusion Nursing care for children with intussusception in our hospital， strengthening perioperative management， can improve the quality of nursing service， improve the satisfaction of children and their families， improve the quality of life of children， reduce the risk of postoperative complications， which is beneficial to the prognosis of children， and should be widely used in clinical practice.
[Key words] Intussusception； Perioperative period； Nursing method； Nursing observation
肠套叠是指一段肠管套入与其相连的肠腔内，并阻碍肠内物质通过的症状。其主要分为原发性和继发性两类，原发性肠套叠多发生于婴幼儿，尤其是婴幼儿在添加辅食的年龄，可因肠蠕动紊乱而发生肠套叠[1-2]。在套叠时间较长或套入肠管较长时，系膜血管的循环受到障碍而发生肠坏死，危及患儿的生命[3]。临床上经常应用生理盐水或钡剂进行灌肠进行治疗，但是灌肠的方法常会失败，使得患儿需要进行手术治疗[4]。研究表明，在患儿围手术期进行有效的护理，可以明显提高手术的成功率、提高安全性和舒适性，改善手术治疗效果[5]。整体护理是一种新兴的护理工作模式，护理人员除了应加强对患儿自身的关注外，还需要把注意力放到患儿所处的环境、心理状态、物理因素等对疾病康复的影响因素上，该模式受到了医护人员的青睐[6]。本研究选取我院收治的60例肠套叠患儿作为研究对象，旨在探讨整体护理在小儿肠套叠围术期护理中的应用效果，现报道如下。, http://www.100md.com(蒋丽)