1例藏族患儿跨文化照护下脊柱侧凸矫形围手术期护理体会

Nursing Experience of Perioperative Care for Scoliosis Orthopedics in a Tibetan Child under Cross-Cultural Care

摘要: 目的：总结1例藏族患儿脊柱侧凸矫形术后的跨文化护理经验，探讨跨文化照护在围手术期护理中的应用价值。方法：针对该藏族患儿的民族特点和文化背景，制定个性化的护理方案，贯穿术前访视、术后护理和康复训练等各个环节。术前通过个性化访视、3D打印和跨院MDT等措施保障围手术期安全；术后关注体位、疼痛、胃肠道、液体管理和康复训练等方面，并采取针对性的护理措施。结果：患儿术后恢复顺利，Cobb角从术前的100˚降至60˚，身高从122 cm增长至143 cm，未发生任何并发症，安全顺利出院。结论：跨文化照护理念在脊柱侧凸矫形术后患儿的护理中具有重要意义，能够改善护患关系，提高护理质量，促进患者康复。

Abstract: Objective: To summarize the cross-cultural nursing experience for one Tibetan child after scoliosis orthopedics and explore the application value of cross-cultural care in perioperative nursing. Methods: An individualized nursing plan was formulated based on the ethnic characteristics and cultural background of the Tibetan child, implemented throughout all stages, including preoperative visits, postoperative care, and rehabilitation training. Perioperative safety was ensured preoperatively through personalized visits, 3D printing, and cross-hospital MDT (Multidisciplinary Team) consultations. Postoperatively, focused care was provided regarding positioning, pain management, gastrointestinal function, fluid management, and rehabilitation training, with specific nursing interventions applied. Results: The patient recovered smoothly after surgery. The Cobb angle decreased from 100˚ preoperatively to 60˚, height increased from 122 cm to 143 cm, no complications occurred, and the patient was discharged safely and successfully. Conclusion: The concept of cross-cultural care is significant in the nursing of children after scoliosis orthopedics. It can improve the nurse-patient relationship, enhance the quality of care, and promote patient recovery.