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

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (1): 77-79.doi: 10.3969/j.issn.1674-3865.2017.01.024

• 临床护理 • 上一篇    下一篇

综合护理模式应用于小儿腹股沟疝的临床效果评价

郭兰冰   

  1. 110023 沈阳，沈阳市第五人民医院放射治疗科
  • 出版日期:2017-02-25 发布日期:2017-12-18
  • 作者简介:郭兰冰(1973-)，女，主管护师。研究方向：小儿外科疾病的护理，E-mail：shenyangtiexi2016@163.com

Evaluation on the effect of nursing intervention for inguinal hernia in children

GUO Lanbing   

  1. 10.3969/j.issn.1674-3865.2017.01.024
  • Online:2017-02-25 Published:2017-12-18

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摘要： 目的:观察综合护理模式应用于小儿腹股沟疝的临床效果。
方法:2014年6月至2016年6月沈阳市第五人民医院外科收治住院的腹股沟疝患儿60例，随机分为观察组及对照组各30例。对照组行常规术后护理，加强对疼痛的管理，观察组在对照组护理基础上，对患儿采取特殊护理措施，对其直系亲属进行术后及出院后的健康指导。对术后0、1、2、3、4、5 h两组疼痛强度进行评分，于出院前一天评定两组的护理满意度。
结果:术后即刻(0 h)两组疼痛强度差异无统计学意义(P>0.05)；术后1、2、3、4、5 h观察组疼痛强度均低于对照组，差异有统计学意义(P<0.05)。在护理满意度调查方面，注意事项的告知和对呼叫回应及时方面两组满意度比较差异无统计学意义(P>0.05)；在主动交流解决需求、护理要点介绍、对检查结果细致解释、及时沟通病情变化、对疾病护理知识进行宣教方面观察组满意率均高于对照组，差异有统计学意义(P<0.05)。
结论:采用综合护理模式，加强家属的心理干预，对其进行健康指导，对于缓解患儿的术后疼痛、促进患儿的康复、提高护理满意度有明显的促进作用，值得临床进一步推广。

关键词: 腹股沟疝, 护理, 儿童

Abstract: Objective:To observe the effect of nursing intervention for inguinal hernia in children.
Methods:Sixty children with inguinal hernia were selected from the Fifth People's Hospital of Shenyang from June 2014 to June 2016, and randomly divided into the control group and the observation group. Children in the control group were given routine nursing, while children in the observation group were given special nursing based on routine nursing, and their immediate family members received health guidance. The intensity of pain was evaluated at 0,1,2,3,4 and 5 hours after operation between two groups. Satisfaction rates of patients' families were compared between two groups.
Results:There was no significant difference between two groups in the intensity of pain at 0 hour after operation. The intensity of pain of observation group was lower than that of the control group at 1,2,3,4 and 5 hours after operation. There was no significant difference between two groups in informing attentions and responding to calling. The other aspects of satisfaction rates of observation group were higher than those of the control group.
Conclusion:The integrated management model which includes immediate family participation in health guidance can alleviate pediatric postoperative pain effectively, and is worth spreading.

Key words: Inguinal hernia, Nursing, Child