ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (5): 446-448.doi: 10.3969/j.issn.1674-3865.2019.05.022

• 临床护理 • 上一篇    下一篇

全麻下儿童斜视矫正术的临床护理路径干预及预后效果研究

侯明明,王利峰   

  1. 450000 郑州,郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院眼科
  • 出版日期:2019-11-01 发布日期:2019-11-08
  • 通讯作者: 侯明明,E-mail:goodren010@163.com
  • 作者简介:侯明明(1984-),女,护师。研究方向:眼科护理

Intervention effect of the clinical nursing path and the prognosis of children receiving strabismus correction under general anesthesia

HOU Mingming,WANG Lifeng   

  1. Children's Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China
  • Online:2019-11-01 Published:2019-11-08

摘要:
目的
探究全麻下儿童斜视矫正术的临床护理路径干预及预后效果。
方法
选择2017年10月至2018年12月在本院接受全麻下斜视矫正术患儿70例为研究对象,按入院顺序分为观察组和对照组各35例。对照组实行常规护理干预,观察组实行综合护理干预,比较两组患儿护理前后的不良情绪评分以及不良反应发生情况。
结果
护理干预前,两组患儿的汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分比较差异无统计学意义(P>0.05);护理干预后,观察组HAMA评分、HAMD评分均显著低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率为8.57%(3/35),显著低于对照组34.29%(12/35),差异有统计学意义(P<0.05)。
结论
在全麻下儿童斜视矫正术的护理中,实行综合护理路径干预能有效帮助患儿缓解不良情绪、减少不良反应,护理效果显著,值得推广。

关键词: 斜视, 矫正术, 临床护理, 儿童

Abstract:
Objective
To explore the intervention effect of the clinical nursing path and the prognosis of children receiving strabismus correction under general anesthesia.
Methods
Totally 70 cases of children receiving strabismus correction under general anesthesia in our hospital from October 2017 to December 2018 were selected as study subjects, and they were divided into observation group(35 cases) and control group(35 cases) according to the order of admission. The control group was given routine nursing intervention, and the observation group was given comprehensive nursing intervention. The scores of adverse emotions and adverse reactions before and after nursing were compared between the two groups.
Results
Before nursing intervention, HAMA score and HAMD score of children in the two groups showed no significant difference(P>0.05). After nursing intervention, HAMA score and HAMD score in the observation group were significantly lower than those in the control group, with statistically significant differences(P<0.05). The incidence of adverse reactions in the observation group was 8.57%(3/35), significantly lower than that in the control group(34.29%,12/35), with statistically significant difference(P<0.05).
Conclusion
In the nursing care of children receiving strabismus correction under general anesthesia, the implementation of comprehensive nursing intervention can effectively help children to relieve adverse emotions and reduce adverse reactions, and nursing effect is significant,so it is worth promoting.

Key words: Strabismus, Correction, Clinical nursing, Children