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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2019年07期

页码:

144-146

栏目:

出版日期:

2019-07-05

文章信息/Info

Title:

 Application of Perioperative Nursing in Total Ear Reconstruction of Congenital
Microtia Malformation

文章编号:

1008-6455（2019）07-0144-03

作者:

张菊芬; 欠洪波

Author(s):

ZHANG Ju-fen; QIAN Hong-bo

关键词:

[关键词]围手术期护理; 先天性小耳畸形; 全耳再造术; 症状自评量表; 改良耶鲁围手术期焦虑量表; 配合度

Keywords:

Key words: perioperative nursing;  congenital microtia malformation;  total ear reconstruction;  symptom checklist;  modified Yaleperioperative anxiety scale;  cooperation degree

分类号:

R47

文献标志码:

B

摘要:

[摘要]目的：探究围手术期护理对先天性小耳畸形全耳再造术患儿配合度、情绪及并发症的影响。方法：将80例接受全耳再
造术治疗的患儿随机分为实验组（40例）和对照组（40例）。实验组实行围手术期护理，对照组进行常规护理。比较两组患
儿不良事件、术后并发症、手术期心理及家长手术期心理状态。结果：护理后，实验组不良事件及术后并发症总发生率低于
对照组，差异有统计学意义（P ＜0.05）。术前及出院前，两组患儿改良耶鲁围手术期焦虑量表（mYPAS）评分无统计学差异
（P ＞0.05）；术后1d及术后7d实验组患儿mYPAS评分均低于对照组，差异有统计学意义（P ＜0.05）。护理后，实验组家长
症状自评量表（SCL-90）各指标得分（躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性、其
它及总分）均低于对照组，差异有统计学意义（P ＜0.05）。结论：围手术期护理可有效缓解患儿及家长的负性情绪，提高
患儿配合度，降低术后并发症，改善预后，值得临床推广应用。

Abstract:

Abstract: Objective To explore the effect on coordination, emotion and complications in children with reconstruction of
congenital microtia by using perioperative nursing. Methods Eighty children with total ear reconstruction were randomly
divided into the experimental group (n =40) and the control group (n =40). The experimental group received perioperative
nursing and the control group received routine nursing. The adverse events, postoperative complications, psychology of children
during operation and psychological status of parents during operation were compared between the two groups. Results After
nursing, the total incidence of adverse events and postoperative complications in the experimental group were lower than that
in the control group (P ＜0.05). Before discharge and preoperative, there was no significant difference in the score of modified
Yale perioperative anxiety scale (mYPAS) between the two groups (P ＞0.05). The score of mYPAS in the experimental group
was lower than that in the control group on the 1st day and 7th day after operation, with significant difference (P ＜0.05). After
nursing, the scores of SCL-90 (somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety,
hostility, phobia, paranoid ideation, psychosis, other and total score) in the experimental group were lower than those in the
control group (P ＜0.05). Conclusion Perioperative nursing can effectively relieve the negative emotion of the children and
their parents, improve the cooperation degree of the children, reduce the occurrence of postoperative complications, and then
improve the prognosis of the children, which is worthy for clinical promotion.

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更新日期/Last Update: 2019-07-31