[1]马艳梅,苏 欣,郑 婕,等.IEES多维度支持法对颌面软组织损伤美容缝合患儿家属疾病不确定感和焦虑心理的影响[J].中国美容医学,2023,(5):179-183.
　MA Yanmei,SU Xin,ZHENG Jie,et al.Effect of IEES Multi-Dimensional Support Method on Children with Cosmetic Suture of Maxillofacial Soft Tissue Injury and Their Families[J].Medical Aesthetics and Beauty,2023,(5):179-183.
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IEES多维度支持法对颌面软组织损伤美容缝合患儿家属疾病不确定感和焦虑心理的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年5期
页码:
179-183
栏目:
出版日期:
2023-05-10

文章信息/Info

Title:
Effect of IEES Multi-Dimensional Support Method on Children with Cosmetic Suture of Maxillofacial Soft Tissue Injury and Their Families
文章编号:
1008-6455(2023)05-0179-04
作者:
马艳梅; 苏 欣; 郑 婕; 郭 媛
(西安交通大学第一附属医院整形美容颌面外科 陕西 西安 710061 )
Author(s):
MA Yanmei; SU Xin; ZHENG Jie; GUO Yuan
(Department of Plastic and Cosmetic Maxillofacial Surgery,the First Aff fl iated Hospital of Xi’an Jiaotong University,Xi’an 710061,Shaanxi,China)
关键词:
IEES多维度支持法; 颌面软组织损伤; 美容缝合; 患儿; 疾病不确定感; 负性情绪; 护理效果
Keywords:
IEES multi-dimensional support method;  maxillofacial soft tissue injury;  cosmetic suture;  children;  disease uncertainty;  negative emotions;  nursing eff ect
分类号:
R473.6
文献标志码:
A
摘要:
目的：研究IEES多维度支持法对颌面软组织损伤美容缝合患儿及其家属的影响。方法：选择2019年1月-2021年10月笔 者医院收治的134例颌面软组织损伤美容缝合患儿及其家属作为研究对象，根据随机数字表法分为对照组和IEES组各67例。 对照组采取常规护理方法，IEES组在对照组的基础上联合应用IEES多维度支持法。比较两组患儿的护理结果、护理干预前后 患儿家属焦虑自评量表（Self-rating anxiety scale,SAS）评分及家属对患儿疾病不确定感的评分；使用多元线性回归分 析护理干预前后家属对患儿疾病不确定感评分变化量的影响因素。结果：对照组患儿的一期愈合率低于IEES组，医疗纠纷 发生率高于IEES组，差异均有统计学意义（P＜0.05）。护理干预后，两组患儿家属SAS评分、家属对患儿疾病不可预测 性、不明确性、信息缺失及复杂性评分以及疾病不确定感总分均下降，且IEES组评分低于对照组，差异均有统计学意义 （P＜0.05）。实施IEES多维度支持法为家属对患儿疾病不确定感评分变化量的保护性因素（P＞0.05），伤口长度≥2.5 cm 为危险因素（P＜0.05）。结论：IEES多维度支持法应用于颌面软组织损伤美容缝合患儿护理中，能够有效提高患儿一期愈 合率，降低医疗纠纷发生率，减轻家属对患儿疾病的不确定感和焦虑情绪。
Abstract:
Objective To explore the effects of IEES multidimensional support method on children with cosmetic suture of maxillofacial soft tissue injury and their families. Methods A total of 134 children with cosmetic suture for maxillofacial soft tissue injury and their families admitted to the author’s hospital from January 2019 to October 2021 were selected as the research objects, and were divided into control group and IEES group with 67 cases in each group according to random number table method. The control group received conventional nursing methods, and the IEES group was combined with IEES multidimensional support method on the basis of the control group. The nursing results, the scores of family anxiety self-rating scale (SAS) before and after nursing intervention, and the scores of family members’ feelings of uncertainty about the disease were compared between the two groups. Multiple linear regression was used to analyze the factors affecting the variation of family members’ disease uncertainty score before and after nursing intervention. Results The first-stage healing rate of children in control group was lower than that in IEES group, and the incidence of medical disputes was higher than that in IEES group, with statistical signifi cance (P ＜0.05). After nursing intervention, the scores of SAS, the scores of unpredictability, uncertainty, information loss and complexity, and the total score of disease uncertainty of the two groups were all decreased, and the scores of IEES group were lower than those of control group, with statistical significance (P＜0.05). The application of IEES multidimensional support method was a protective factor for family members’ changes in disease uncertainty score (P＞0.05), and wound length ≥2.5 cm was a risk factor (P＜0.05). Conclusion The application of IEES multidimensional support method in the nursing of children with cosmetic suture of maxillofacial soft tissue injury can eff ectively improve the fi rst-stage healing rate of children, reduce the incidence of medical disputes, and reduce the uncertainty and anxiety of family members about the diseases of children
更新日期/Last Update: 2023-06-21