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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:

36

期数:

2019年5

页码:

489-492

栏目:

护理研究

出版日期:

2019-05-05

文章信息/Info

Title:

Application of family-centered care in children with congenital megacolon

作者:

徐志华

（河南中医药大学第三附属医院手术室，河南　郑州　450000）

Author(s):

XU Zhi-hua

（Department of Operating Room，the Third Affiliated Hospital of Henan University of Traditioinal Chinese Medicine，Zhengzhou 450000，Henan Province，China）

关键词:

以家庭为中心的护理模式; 先天性巨结肠; 疾病管理能力; 焦虑情绪

Keywords:

family-centered care; congenital megacolon; disease management ability; anxiety level

分类号:

R473.71

DOI:

10.7683/xxyxyxb.2019.05.022

文献标志码:

A

摘要:

目的　探讨以家庭为中心的护理模式在先天性巨结肠患儿中的应用效果。方法　选择2016年1月至2018年5月河南中医药大学第三附属医院收治的行一期拖出术的先天性巨结肠患儿84例为研究对象，根据护理方式将患儿分为对照组（n=42）和观察组（n=42）。2组患儿均给予常规治疗和护理，观察组患儿在此基础上给予家庭为中心的护理，所有患儿均随访至术后6个月。比较2组患儿父（母）干预前、出院时和出院后6个月时对疾病相关知识的了解情况、疾病管理能力及焦虑情绪，并记录2组患儿并发症发生情况。结果　干预前，2组患儿父（母）对疾病知识掌握情况、疾病管理能力及焦虑情绪得分比较差异均无统计学意义（P>0.05）；出院时和出院后6个月，观察组患儿父（母）对疾病知识掌握情况、疾病管理能力得分高于对照组，焦虑情绪得分低于对照组（P<0.05）。对照组和观察组患儿并发症发生率分别为31.0%（13/42）、19.0%（8/42），2组患儿并发症发生率比较差异无统计学意义（χ²=1.448，P>0.05）。结论　以家庭为中心的护理模式可增加先天性巨结肠患儿父（母）对疾病的了解程度，提高对疾病的管理能力，缓解焦虑情绪。

Abstract:

Objective　To explore the application effect of family-centered care model in children with congenital megacolon.Methods　Eighty-four children with congenital megacolon who underwent one-stage pull-out operation in the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2016 to May 2018 were selected and divided into control group （n=42） and observation group （n=42） according to different nursing methods.All children were given routine treatment and nursing，based on this，the children in the observation group were given family-centered care.All the children were followed up to 6 months after operation.The knowledge about disease，disease management ability and anxiety level of the parents of the children were compared between the two groups before intervention，at discharge and at 6 months after discharge；the incidence of complications was recorded between the two groups.Results　There was no significant difference in the score of knowledge about disease，disease management ability and anxiety of parents between the two groups before intervention（P>0.05）.At discharge and 6 months after discharge，the score of knowledge about disease and disease management ability of the parents of children in the observation group was higher than that in the control group（P<0.05），and the score of anxiety emotion was lower than that in the control group （P<0.05）.The incidence of complications in the control group and the observation group was 31.0%（13/42）and 19.0%（8/42），respectively；there was no significant difference in the incidence of complications between the two groups （χ²=1.448，P>0.05）.Conclusion　In the care of children with congenital megacolon，family-centered care can increase the knowledge about disease，increase the disease management ability，and alleviate the anxiety of the parents.

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更新日期/Last Update: 2019-05-05