Effect of game nursing mode combined with psychological support on postoperative recovery and prognosis in children after laparoscopic surgery
-
摘要:目的 探讨游戏护理模式联合心理支持对腹腔镜手术患儿术后恢复及预后的影响。方法 选择98例接受腹腔镜手术的患儿作为研究对象，按随机数字表法分为观察组与对照组，各49例。观察组采用常规护理方式，对照组采用游戏护理模式联合心理支持进行护理。比较2组患儿术后恢复情况(包括术后禁食时间、白细胞计数、下床活动时间、住院时间)、疼痛视觉模拟评分法(VAS)评分状况，并比较2组患儿治疗依从性、家属满意度情况和患儿术后并发症发生情况。结果 经3个月护理, 2组禁食时间、术后白细胞计数无显著差异(P>0.05); 观察组下床活动时间、住院时间显著短于对照组(P < 0.05); 观察组护理后第1、3、5、7、10天的VAS评分均显著低于对照组(P < 0.05); 观察组患儿治疗依从性显著优于对照组，家属满意度显著高于对照组(P < 0.05); 观察组腹腔内出血、皮下气肿等并发症的总发生率为12.24%, 显著低于对照组的36.73%(P < 0.05)。结论 游戏护理模式联合心理支持能够促进腹腔镜手术患儿的术后恢复，缩短住院时间，促进早期下床活动，有效提高患儿依从性和家属满意度，减少术后并发症。Abstract:Objective To explore the effect of game nursing combined with psychological support on the recovery and prognosis of children after laparoscopic surgery.Methods A total of 98 children undergoing laparoscopic surgery in our hospital were selected as research objects. They were divided into observation group and control group according to random number table method, with 49 cases in each group. The observation group was given general routine nursing, while the control group was given game nursing combined with psychological support. The recovery of postoperative nursing including fasting time, leucocyte count, time of bed-off, time of hospitalization and Visual Analogue Scale (VAS) scores were compared between the two groups. The treatment compliance, satisfaction of family members and the incidence of complications after operation were compared between the two groups.Results After 3 months of nursing, there were no significant differences in fasting time and leucocyte count between the two groups (P>0.05); the time of getting off bed and hospitalization time in the observation group were significantly shorter than that in the control group (P < 0.05); the VAS scores at 1, 3, 5, 7 and 10 d after operation in the observation group was lower than that in the control group (P < 0.05); the treatment compliance in observation group was significantly better, and the satisfaction of family members was also higher than that in control group (P < 0.05); the incidence of complications such as intraperitoneal hemorrhage and subcutaneous emphysema in observation group was lower than that in control group (12.24% vs. 36.73%, P < 0.05).Conclusion Game nursing combined with psychological support can promote the recovery, shorten hospital stay, promote early bed-off activities, effectively improve the compliance and satisfaction of children and families, and reduce postoperative complications.
-
Keywords:
- game nursing /
- psychological support /
- laparoscopy /
- postoperative recovery /
- nursing
-
-
表 1 2组术后护理恢复情况比较(x±s)
组别 n 禁食时间/h 白细胞计数/(×109/L) 下床活动时间/h 住院时间/d 对照组 49 32.13±6.29 12.67±2.18 26.81±7.23 15.75±5.56 观察组 49 34.81±7.56 12.25±2.87 20.84±5.44* 10.90±3.63* 与对照组比较, *P < 0.05。 
下载: 导出CSV
表 2 2组患儿VAS评分比较(x±s)
分 组别 n 护理前 护理后第1天 护理后第3天 护理后第5天 护理后第7天 护理后第10天 对照组 49 8.60±0.40 8.24±0.11 7.93±0.19 5.17±0.21 4.26±0.34 3.34±0.56 观察组 49 8.70±0.30 7.33±0.05* 6.26±0.28* 4.34±0.07* 3.26±0.19* 2.34±0.36* 与对照组比较, *P < 0.05。
下载: 导出CSV
表 3 2组患儿VAS评分及家属满意情况比较[n(%)]
组别 患儿依从性 家属满意 完全依从 部分依从 不依从 对照组(n=49) 9(18.37) 12(24.49) 28(57.14) 26(53.06) 观察组(n=49) 25(51.02)* 22(44.89)* 2(4.08)* 47(95.92)* 与对照组比较, *P < 0.05。
下载: 导出CSV
表 4 2组术后并发症发生情况比较[n(%)]
组别 腹腔内出血 皮下气肿 切口并发症 尿潴留 肠梗阻 合计 对照组(n=49) 3(6.12) 2(4.08) 4(8.16) 5(10.20) 4(8.16) 18(36.73) 观察组(n=49) 1(2.04) 1(2.04) 2(4.08) 2(4.08) 1(2.04) 7(14.29)* 与对照组比较, *P < 0.05。
下载: 导出CSV
-
[1] 李立, 张奉超, 彭蓓. 全身麻醉联合超声引导下腹横肌平面阻滞与联合骶管阻滞在小儿腹腔镜手术应用的比较[J]. 实用临床医药杂志, 2015, 19(11): 174-175. doi: 10.7619/jcmp.201511064 [2] 顾莺, 张晓波, 傅丽丽, 等. 儿童医疗游戏辅导护理专业队伍的建设与管理[J]. 中国护理管理, 2019, 19(5): 761-764. doi: 10.3969/j.issn.1672-1756.2019.05.025 [3] 汪文娟, 周亚琴, 何双八, 等. 专科化游戏干预在眼科学龄前患儿围手术期护理中的应用研究[J]. 中华护理杂志, 2018, 53(12): 1429-1433. doi: 10.3761/j.issn.0254-1769.2018.12.004 [4] 吴丽芬, 刘恋. 基于全人护理理念的游戏疗法提高儿童肿瘤病人住院适应性的研究[J]. 护理研究, 2018, 32(18): 2924-2926. doi: 10.12102/j.issn.1009-6493.2018.18.029 [5] 黄红梅. 小儿护理中实施小儿危重病护理评分法的效果分析[J]. 实用临床医药杂志, 2016, 20(6): 195-196. doi: 10.7619/jcmp.201606071 [6] 曹芳敏, 杨丹. 小儿扁桃体炎的围术期优质护理[J]. 实用临床医药杂志, 2018, 22(20): 109-111. doi: 10.7619/jcmp.201820033 [7] 朱继红. 儿童腹腔镜术中低体温发生相关因素的调查[J]. 解放军护理杂志, 2018, 35(11): 18-21. doi: 10.3969/j.issn.1008-9993.2018.11.004 [8] 康青, 何大维, 吴盛德, 等. 腹腔镜治疗儿童上尿路结石的疗效观察[J]. 中国微创外科杂志, 2017, 17(9): 790-793. doi: 10.3969/j.issn.1009-6604.2017.09.008 [9] 刘金炜, 杜炜杰, 胡京辉, 等. 腹腔镜手术在儿童卵巢肿瘤治疗中的应用[J]. 中国内镜杂志, 2015, 21(9): 974-977. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ201509022.htm [10] 曲建楠, 马迎雪. 综合护理干预在小儿疝气快速康复中的应用效果[J]. 中国康复医学杂志, 2019, 34(2): 210-211. doi: 10.3969/j.issn.1001-1242.2019.02.018 [11] 杜小兰, 张婧祎, 王小妮, 等. 强化护理对小儿急性腹泻患者症状、肠道菌群及复发率的影响[J]. 中国微生态学杂志, 2019, 31(1): 78-81. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWS201901017.htm [12] 李雪梅. 综合性护理干预对小儿支气管肺炎康复效果的影响[J]. 护理研究, 2018, 32(16): 2645-2647. doi: 10.12102/j.issn.1009-6493.2018.16.050 [13] 李莉, 陈芳, 苏瑜. 综合性健康教育对肺炎患儿防治效果评价[J]. 中国健康教育, 2018, 34(7): 659-662. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201807021.htm [14] 王震, 陆群峰. 快速康复外科在小儿围术期护理的应用研究进展[J]. 解放军护理杂志, 2018, 35(12): 43-46, 58. doi: 10.3969/j.issn.1008-9993.2018.12.0010 [15] 王利维, 唐春燕, 马燕, 等. 全程家庭护理干预模式在小儿肛门成形术患者中的应用[J]. 解放军护理杂志, 2018, 35(12): 64-68. doi: 10.3969/j.issn.1008-9993.2018.12.0015 [16] 杨红霞, 李京华, 王颖, 等. 儿童肿瘤患者射频消融围术期的心理护理探讨[J]. 中华肿瘤防治杂志, 2018, 25(S2): 281-281, 283. https://www.cnki.com.cn/Article/CJFDTOTAL-QLZL2018S2180.htm [17] 张玲利, 徐微. 综合护理干预对小儿病毒性心肌炎患儿的疗效及预后的影响分析[J]. 中国地方病防治杂志, 2017, 32(5): 534-535. https://www.cnki.com.cn/Article/CJFDTOTAL-DYBF201705032.htm [18] 王颖, 张云平, 罗晨晨, 等. 自制小儿肠造口护理保护装置用于造口护理[J]. 护理学杂志, 2015, 30(6): 22-23. doi: 10.3870/hlxzz.2015.06.022
表(4)
计量
- 文章访问数: 279
- HTML全文浏览量: 123
- PDF下载量: 3
苏公网安备 32100302010246号