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

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.

     

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