围手术期个性化护理在全麻扁桃体摘除术患儿中的应用效果分析
摘要
目的分析围手术期个性化护理在全麻扁桃体摘除术患儿中的应用效果。方法选择本院2016年3月~2017年1月行扁桃体摘除术患儿96例,根据随机数字表法将所有患儿分为两组,各48例。给予对照组患儿围手术期常规护理干预,在此基础上,给予观察组患儿个性化护理干预,比较两组护理满意度、术后各个时间段疼痛评分、躁动评分及住院时间。结果观察组患儿家属护理总满意度为95.83%,对照组护理总满意度为83.33%,两组患儿家属护理满意度相比,观察组明显高于对照组,差异具有统计学意义(P<0.05)。两组患儿术后12 h、24 h、36 h VAS评分相比,观察组均低于对照组,差异具有统计学意义(P<0.05)。对照组患儿苏醒后躁动评分为(3.03±1.03)分,住院时间为(7.56±1.06)d,观察组患儿苏醒后躁动评分为(2.01±0.89)分,住院时间为(5.64±1.12)d,两组患儿苏醒后躁动评分与住院时间相比,观察组均低于对照组,差异具有统计学意义(t=5.191、8.626,P<0.05)。结论围手术期个性化护理能提高全麻扁桃体摘除术患儿家属护理满意度,减少患儿苏醒后躁动发生率及疼痛感,缩短住院时间。
引文
[1]胡秀英,沈美琴.扁桃体摘除术后的护理[J].护士进修杂志,2015,30(6):559-561.
[2]Yuhua Ye,Zhinan Wang,Zhiqiang Xu.Analysis of the causes of postoperative delayed hemorrhage of low temperature lasma tonsillectomy in children[J].Lin chuang er bi yan hou tou jing wai ke za zhi=Journal of clinical otorhinolaryngology,head,and neck surgery,2015,29(6):528-531.
[3]孙秀丽.循证护理在儿童OSAHS围术期护理中的应用[J].护理研究,2014,28(20):2527-2528.
[4]张标新,李伦兰,朱子秀,等.儿童扁桃体切除术后疼痛的非药物性护理干预[J].护理学杂志,2016,31(14):21-23.
[5]Lucas Bailey,Jing Sun,Mark Courtney,et al.Improving postoperative tonsillectomy pain management in children--a double blinded randomised control trial of a patient analgesia information sheet[J].International journal of pediatric otorhinolaryngology,2015,79(5):732-739.
[6]陈纯柳,梁煜程,陈晓君,等.扁桃体切除术病人术后进食流质的适宜温度研究[J].护理研究,2016,30(19):2382-2384.
[7]张馨元,余蓉.扁桃体术后出血的原因分析及护理[J].华西医学,2015,30(3):543-544.
[8]Dekeisha Howard,Katherine Finn Davis,Eileen Phillips,et al.Pain management for pediatric tonsillectomy:an integrative review through the perioperative and home experience[J].Journal for specialists in pediatric nursing,2014,19(1):5-16.
[9]王秀珍,徐梅,王令焕.自制垫肩式冷敷袋在扁桃体摘除术后患者中的应用[J].中华现代护理杂志,2015,21(14):1729-1730.
[10]Frank A Schymik,Ellen M Lavoie Smith,Terri Voepel-Lewis.Parental Analgesic Knowledge and Decision Making for Children With and Without Obstructive Sleep Apnea After Tonsillectomy and Adenoidectomy[J].Pain management nursing:official journal of the American Society of Pain Management Nurses,2015,16(6):881-819.
[11]柳淑洪.心理护理对小儿扁桃体手术患者的影响[J].河北医药,2015,37(3):477-478.
[12]蒋珠芳.扁桃体切除术后出血的预防及护理干预[J].浙江临床医学,2014,17(10):1685-1686.
[13]Helga Lára Helgadóttir,Margaret E,Wilson.A randomized controlled trial of the effectiveness of educating parents about distraction to decrease postoperative pain in children at home after tonsillectomy[J].Pain management nursing:official journal of the American Society of Pain Management Nurses,2014,15(3):632-640.
[14]解云芳,黄绍玲,聂陆娥,等.扁桃体摘除术患儿全麻复苏期的护理干预应用效果观察[J].当代医学,2017,23(17):176-178.
[15]高俏丽.小儿扁桃体腺样体摘除术后逐步开放饮食的护理干预措施分析[J].当代医学,2011,17(35):120-121.
[2]Yuhua Ye,Zhinan Wang,Zhiqiang Xu.Analysis of the causes of postoperative delayed hemorrhage of low temperature lasma tonsillectomy in children[J].Lin chuang er bi yan hou tou jing wai ke za zhi=Journal of clinical otorhinolaryngology,head,and neck surgery,2015,29(6):528-531.
[3]孙秀丽.循证护理在儿童OSAHS围术期护理中的应用[J].护理研究,2014,28(20):2527-2528.
[4]张标新,李伦兰,朱子秀,等.儿童扁桃体切除术后疼痛的非药物性护理干预[J].护理学杂志,2016,31(14):21-23.
[5]Lucas Bailey,Jing Sun,Mark Courtney,et al.Improving postoperative tonsillectomy pain management in children--a double blinded randomised control trial of a patient analgesia information sheet[J].International journal of pediatric otorhinolaryngology,2015,79(5):732-739.
[6]陈纯柳,梁煜程,陈晓君,等.扁桃体切除术病人术后进食流质的适宜温度研究[J].护理研究,2016,30(19):2382-2384.
[7]张馨元,余蓉.扁桃体术后出血的原因分析及护理[J].华西医学,2015,30(3):543-544.
[8]Dekeisha Howard,Katherine Finn Davis,Eileen Phillips,et al.Pain management for pediatric tonsillectomy:an integrative review through the perioperative and home experience[J].Journal for specialists in pediatric nursing,2014,19(1):5-16.
[9]王秀珍,徐梅,王令焕.自制垫肩式冷敷袋在扁桃体摘除术后患者中的应用[J].中华现代护理杂志,2015,21(14):1729-1730.
[10]Frank A Schymik,Ellen M Lavoie Smith,Terri Voepel-Lewis.Parental Analgesic Knowledge and Decision Making for Children With and Without Obstructive Sleep Apnea After Tonsillectomy and Adenoidectomy[J].Pain management nursing:official journal of the American Society of Pain Management Nurses,2015,16(6):881-819.
[11]柳淑洪.心理护理对小儿扁桃体手术患者的影响[J].河北医药,2015,37(3):477-478.
[12]蒋珠芳.扁桃体切除术后出血的预防及护理干预[J].浙江临床医学,2014,17(10):1685-1686.
[13]Helga Lára Helgadóttir,Margaret E,Wilson.A randomized controlled trial of the effectiveness of educating parents about distraction to decrease postoperative pain in children at home after tonsillectomy[J].Pain management nursing:official journal of the American Society of Pain Management Nurses,2014,15(3):632-640.
[14]解云芳,黄绍玲,聂陆娥,等.扁桃体摘除术患儿全麻复苏期的护理干预应用效果观察[J].当代医学,2017,23(17):176-178.
[15]高俏丽.小儿扁桃体腺样体摘除术后逐步开放饮食的护理干预措施分析[J].当代医学,2011,17(35):120-121.