基于“心理-生理-环境”的综合护理模式在隐匿性阴茎矫正手术患儿围术期护理中的应用-《中国美容医学》

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Title:: Application of Comprehensive Nursing Model Based on "Psychology-PhysiologyEnvironment" in Perioperative Nursing of Children with Concealed Penis Correction Surgery?/html>

文章编号:: 1008-6455（2024）07-0160-04

作者:: 孙圣文; 李影; 刘勤; (阜阳市妇女儿童医院小儿外科安徽阜阳 236000 )

Author(s):: SUN Shengwen; LI Ying; LIU Qin; ( Department of Pediatric Surgery, Fuyang City Women’s and Children’s Hospital, Fuyang 236000, Anhui, China )

关键词:: “心理-生理-环境”; 综合护理模式; 隐匿性阴茎; 矫正; 围手术期

Keywords:: "psychology-physiology-environment"; comprehensive nursing model; occult yin stem; corrective surgery; perioperative period

分类号:: R473.6

文献标志码:: A

摘要:: 目的：探讨基于“心理-生理-环境”的综合护理模式对隐匿性阴茎矫正手术患儿术后康复的影响。方法：选取2022 年3月-2023年1月笔者医院收治的96例隐匿性阴茎患儿，按随机数字表法分为对照组（n=46）和研究组（n=50）。对照组接受常规围术期护理，研究组在对照组护理基础上接受基于“心理-生理-环境”的综合护理模式。统计比较两组患儿的整体舒适度评分（简化Kolcabal量表）、疼痛程度评分[面部表情疼痛评分法（Faces pain scale revised，FPS-R）]、家属满意度评分（满意度问卷CSQ-8）、应激反应指标[皮质醇（Cortisol，COR）、肾上腺素（Adrenaline，AD）、去甲肾上腺素（Norepinephrine，NE）]及术后并发症的发生情况。结果：研究组术后第3天疼痛评分明显低于对照组（P＜0.05）；护理干预2个月后，研究组整体舒适度各评分、家长护理满意度评分均高于对照组（P＜0.05），研究组应激反应各指标均低于对照组（P＜0.05）；研究组术后并发症发生率为8%，明显低于对照组的26.09%（P＜0.05）。结论：在隐匿性阴茎矫正手术患儿围术期应用“心理-生理-环境”综合护理模式能为患儿提供全方面的护理服务，促进患儿康复，值得临床推广应用。

Abstract:: Objective To explore the eff ect of comprehensive nursing model based on "psychology-physiology-environment" on postoperative rehabilitation of children with concealed penis correction surgery. Methods A total of 96 children with concealed penis admitted to author’s hospital from March 2022 to January 2023 were selected and divided into control group (n=46) and study group (n=50) according to the random number table method. The control group received routine perioperative nursing, and the study group received comprehensive nursing based on "psychology-physiology-environment" on the basis of the control group’s nursing. Overall comfort score ( simplifi ed Kolcabal scale), pain score (Faces pain scale) revised (FPS-R), family satisfaction questionnaire (CSQ-8), stress response indicators [cortisol (COR), adrenaline (AD), norepinephrine (NE)] and postoperative complications of the two groups were statistically compared. Results The pain score of the study group was signifi cantly lower than that of the control group on the third day after operation (P ＜0.05). After 2 months of nursing intervention, the scores of overall comfort and parents’ nursing satisfaction in the study group were higher than those in the control group (P＜0.05), and the indexes of stress response in the study group were lower than those in the control group (P＜0.05). The incidence of postoperative complications in the study group was 8%, which was significantly lower than 26.09% in the control group (P＜0.05). Conclusion The comprehensive nursing model based on "psychology physiology environment" has a signifi cant therapeutic eff ect and good aesthetic eff ect on children undergoing concealed penile correction surgery, which is highly satisfactory to the parents of the patients and worthy of clinical promotion and application.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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