少儿烧伤后瘢痕挛缩畸形整形修复手术舒适护理研究
The Study of Comfortable Nursing about Surgical Treatment of Burn-Induced Scar Contracture Deformity in Children
DOI: 10.12677/ACM.2021.118555, PDF,   
作者: 张秀琴, 秦 晶*:海军军医大学第一附属医院麻醉学部手术室,上海
关键词: 舒适护理少儿烧伤瘢痕挛缩畸形整形修复Comfortable Nursing Children Burn Scar Contracture Deformity Plastic Repair
摘要: 目的:探究少儿烧伤瘢痕手术治疗的患者实施手术室舒适护理后的临床效果。方法:选取我院2018年3月~2019年12月实施的少儿手烧伤后瘢痕挛缩畸形整形修复的86例患者为研究对象,随机分为观察组和对照组,观察组在手术期内实施舒适护理干预,对照组接受常规护理干预,选用儿童抑郁障碍自评量表(DSRSC),对患儿的情绪进行评估。使用SPSS 21.0进行数据处理及统计,采用非T检验及卡方检验。结果:对照组患儿在抑郁情绪DSRSC量表总分为(16.95 ± 4.52)分;观察组采用舒适护理后,患儿抑郁情绪均有所改善,有明显好转,DSRSC量表总分为(8.07 ± 3.14)分,两组间差异具有统计学意义(t = 11.210, P < 0.05)。观察组患儿对手术室舒适护理服务模式的满意度明显高于对照组;手术操作时间明显短于对照组。结论:应用舒适护理模式对手术治疗的患儿护理的临床效果非常明显。
Abstract: Objective: To explore the clinical effect of comfortable nursing in operating room for children with burn scar surgery. Methods: 86 cases of children with hand burn scar contracture plastic repair in our hospital from March 2018 to December 2019 were selected and randomly divided into observation group and control group. The observation group was given comfortable nursing intervention during the operation period, while the control group was given routine nursing intervention. The Self Rating Depression Scale (DSRSC) was used to evaluate the emotion of children. SPSS 21.0 was used for data processing and statistics, and non-T test and chi square test were used. Results: All the children in the control group had depression, and the total score of DSRSC was (16.95 ± 4.52); after comfortable nursing, the depression of children in the observation group was improved, and the total score of DSRSC was (8.07 ± 3.14), there was a difference between the two groups (t = 11.210, P < 0.05). The satisfaction of the observation group to the comfortable nursing service mode in the operating room was significantly higher than that of the control group, and the operation time was significantly shorter than that of the control group. Conclusion: Comfortable nursing can significantly improve the nursing for clinical effect of children with surgical treatment.
文章引用:张秀琴, 秦晶. 少儿烧伤后瘢痕挛缩畸形整形修复手术舒适护理研究[J]. 临床医学进展, 2021, 11(8): 3778-3783. https://doi.org/10.12677/ACM.2021.118555

参考文献

[1] Laura, C. and Joseph, G. (2019) The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study. Journal of Pediatric Health Care, 33, 509-519. [Google Scholar] [CrossRef] [PubMed]
[2] 王景霞, 张海霞. 小儿手烧伤后瘢痕挛缩畸形整形修复122例围手术期护理[J]. 中国医疗美容, 2014, 17(3): 142-142, 120.
[3] 蒋晓燕, 魏庆华. 小儿手部烧伤后瘢痕挛缩畸形整复术的护理[J]. 内蒙古中医药, 2014, 29(10): 146.
[4] 师红玲. 小儿手部烧伤瘢痕挛缩畸形整复术后患者的康复护理探讨[J]. 中国医疗美容, 2016, 6(8): 70-71.
[5] Grishkevich, V.M., Max, G. and Vasiliy, A. (2018) Shoulder Edge Anterior Adduction Contracture in Pediatric Patients after Burns: Anatomy and Treatment: A New Approach. Burns Open, 2, 130-138. [Google Scholar] [CrossRef
[6] 郑晓蓝, 徐碧文, 唐小梅. 舒适护理对手术室患者舒适度及护理满意度的影响[J]. 齐鲁护理杂志, 2013, 19(8): 42-43.
[7] 彭艳丽. 舒适护理在牧区小儿烧伤患者中的应用[J]. 甘肃医药, 2014, 33(9): 711-713.
[8] 赵远. 背景音乐减缓手术患者心理应激的研究[J]. 山西医药杂志, 2013(24): 1377-1378.
[9] Joseph, B., Mimmie, W., Folke, S. and Haglund, K. (2018) Being a Family Member of a Burn Survivor: Experiences and Needs. Burns Open, 2, 193-198. [Google Scholar] [CrossRef
[10] 周贤良, 夏正国, 孔维昌, 童纪文, 徐庆连. 烧伤后体位摆放对后期功能康复的影响观察[J]. 实用临床护理学杂志, 2017, 2(27): 52-53.
[11] 卞红, 刘海英, 杨正宇, 张婧婧, 罗亮, 俞萍. eCASH理念结合早期活动在ICU机械通气患者的应用研究[J]. 护理学杂志, 2019, 34(10): 38-41. [Google Scholar] [CrossRef
[12] Joakim, O. and Ann, K. (2005) Comfort and Comforting: An Innovative Course in Undergraduate Nursing Education. Nurse Education Today, 2, 95-101. [Google Scholar] [CrossRef] [PubMed]
[13] 李红, 林榕, 闫静. 基于舒适护理模式的人文关怀策略在ICU口渴患者中的应用效果评价[J]. 护士进修杂志, 2019, 34(14): 1324-1326, 1336.