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Received:February 12, 2022 Published Online:October 20, 2022
Received:February 12, 2022 Published Online:October 20, 2022
中文摘要: 目的 探讨护理标准作业流程联合以家庭为中心的护理（FCC）干预在小耳畸形二期手术围手术期患儿心理护理中的应用及其影响。方法 选取2018年6月至2021年5月西安交通大学第一附属医院收治的169例先天性小耳畸形行二期手术患儿的临床资料进行回顾性分析，将2018年6月至2019年5月开展常规护理的93例设为对照组，将2019年6月至2021年5月实施护理标准作业流程联合FCC干预的76例患儿设为联合组，观察比较两组家属心理健康状况、患儿焦虑程度及术后并发症情况。结果 两组患儿术前访视时改良耶鲁焦虑量表(mYPAS)评分比较差异无统计学意义（P＞0.05），入手术室、术后1 d、出院前联合组mYPAS评分均低于对照组（P＜0.05）。术前两组患儿家属症状自评量表（SCL-90）各维度评分及总分比较差异无统计学意义（P＞0.05），出院前两组患儿家属SCL-90各维度评分及总分与术前比较均降低，且联合组SCL-90各维度评分及总分均低于对照组（P＜0.05）。联合组患儿并发症总发生率为2.63%，低于对照组的10.75%(P＜0.05)。结论 小耳畸形二期手术围手术期实施护理标准作业流程与FCC干预，可以缓解患儿焦虑程度，改善家属心理健康状况，降低患儿术后并发症发生率。
Abstract:Objective To explore the effect of nursing standard operation procedure combined with family-centered care (FCC) intervention on the psychology of children with microtia in the perioperative period of secondary surgery. Methods A retrospective analysis was performed on the clinical data of 169 children with congenital microtia received secondary surgery in the First Affiliated Hospital of Xian Jiaotong University from June 2018 to May 2021. The children were divided into control group (n=93) in which routine nursing care was given from June 2018 to May 2019, and combined group (n=76) in which standard nursing care combined with FCC intervention was conducted from June 2019 to May 2021. The mental health status of family members, the anxiety level and postoperative complications of the children were observed and compared between two groups. Results There was no significant difference in the scores of the modified Yale Perioperative Anxiety Scale (mYPAS) at the preoperative visit between two groups (P>0.05)，but mYPAS scores in combined group were statistically lower than those in control group at admission to the operating room, 1 day after operation and before discharge (P<0.05). There was no significant difference in the preoperative evaluation of each dimension and total score of the self-rating symptom scale (SCL-90) for family members between two groups (P>0.05). Before discharge, SCL-90 in each dimension scores and total score were significantly lower than those before operation in both groups and were statistically lower in combined group than those in control group (P<0.05). The total incidence of complications in combined group was significantly lower than that in control group (2.63% vs 10.75%, P<0.05). 〖Conclusion In the perioperative period of the second-stage surgery for children with microtia, the implementation of standard nursing procedures and FCC intervention can relieve the anxiety of children, improve the mental health status of family members and reduce the incidence of postoperative complications.
文章编号： 中图分类号：R473.72 文献标志码：B
基金项目:西安交通大学第一附属医院科技部项目（2019QN-26）
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