整體護理在小兒腸套疊圍術期護理中的應用效果

蔣麗

[摘要]目的 探討整體護理在小兒腸套疊圍術期護理中的應用效果。方法 選取2016年1月～2017年1月我院收治的60例腸套疊患兒作為研究對象，隨機分為對照組和研究組，每組各30例。對照組圍術期應用常規護理，研究組應用整體護理。比較分析兩組患兒護理后的護理滿意度、生活質量及術后并發癥情況。結果 研究組患兒護理后的總滿意度為96.67%，明顯高于對照組的70.00%，差異有統計學意義（P<0.05）；研究組患兒護理后的軀體活動、精力、睡眠、疼痛、社會生活及情感評分均低于對照組，差異有統計學意義（P<0.05）；研究組患兒護理后的并發癥總發生率為3.33%，明顯低于對照組的20.00%，差異有統計學意義（P<0.05）。結論 應用整體護理對腸套疊患兒進行護理，可加強圍術期管理，改善護理服務質量，提高患兒及家屬的滿意度，改善患兒的生活質量，降低術后并發癥的發生風險，有利于患兒預后，值得臨床大力推廣。

[關鍵詞]腸套疊；圍術期；護理方法；護理觀察

[中圖分類號] R473.72 [文獻標識碼] A [文章編號] 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

腸套疊是指一段腸管套入與其相連的腸腔內，并阻礙腸內物質通過的癥狀。其主要分為原發性和繼發性兩類，原發性腸套疊多發生于嬰幼兒，尤其是嬰幼兒在添加輔食的年齡，可因腸蠕動紊亂而發生腸套疊[1-2]。在套疊時間較長或套入腸管較長時，系膜血管的循環受到障礙而發生腸壞死，危及患兒的生命[3]。臨床上經常應用生理鹽水或鋇劑進行灌腸進行治療，但是灌腸的方法常會失敗，使得患兒需要進行手術治療[4]。研究表明，在患兒圍手術期進行有效的護理，可以明顯提高手術的成功率、提高安全性和舒適性，改善手術治療效果[5]。整體護理是一種新興的護理工作模式，護理人員除了應加強對患兒自身的關注外，還需要把注意力放到患兒所處的環境、心理狀態、物理因素等對疾病康復的影響因素上，該模式受到了醫護人員的青睞[6]。本研究選取我院收治的60例腸套疊患兒作為研究對象，旨在探討整體護理在小兒腸套疊圍術期護理中的應用效果，現報道如下。……