家庭赋权-督导跟进护理模式在小儿尿道下裂术后延续性护理中的应用效果OA
Application effect of family empowerment supervision and follow-up nursing model in continuous nursing of children with hypospadias after surgery
目的 探讨小儿尿道下裂术后延续性护理中应用家庭赋权-督导跟进护理模式的效果.方法 采用随机数字表法将徐州市中心医院2022年2月至2025年7月诊治的70例尿道下裂患儿分为两组,每组35例.对照组予以常规护理干预,观察组在常规护理基础上给予家庭赋权-督导跟进护理模式干预.对比两组术后1、2、3 d的疼痛程度[修订版面部表情疼痛评估量表(FPS-R)]以及两组干预前后的心理状态[儿童行为量表(CBCL)]、照护者照护能力[家庭照护者能力测量表(FCTI)],并统计两组并发症发生率.结果 术后1、2、3 d的FPS-R评分对比,观察组均较对照组低(P<0.05).相较于对照组,观察组干预后的CBCL各维度评分均较低(P<0.05).相较于对照组,观察组干预后的FCTI各维度评分均较低(P<0.05).并发症总发生率对比,观察组较对照组低(P<0.05).结论 在小儿尿道下裂术后延续性护理中,采用家庭赋权-督导跟进护理模式可有效改善患儿心理状态,提升家庭照护能力,并促进患儿术后的恢复进程,减少并发症的发生.
Objective To explore the effect of family empowerment supervision and follow-up nursing model in continuous nursing of children with hypospadias after surgery.Methods Using the random number table method,a total of 70 children with hypospadias diagnosed and treated in Xuzhou Central Hospital from February 2022 to July 2025 were divided into two groups.There were 35 pediatric patients in each group.The control group was given routine nursing intervention,and the observation group was given family empowerment supervision and follow-up nursing model intervention on the basis of routine nursing.The pain degree(faces pain scale-revised[FPS-R])at 1,2 and 3 days after surgery,and the psychological state(child behavior checklist[CBCL])and caregiver care ability(family caregiver task inventory([FCTI])before and after intervention of the two groups were compared,and the incidence of complications of the two groups was calculated.Results The FPS-R scores in the observation group were lower than those in control group at 1,2 and 3 days after surgery(P<0.05).Compared with the control group,the scores of all dimensions of CBCL in the observation group after intervention were lower(P<0.05).Compared with the control group,the scores of all dimensions of FCTI in the observation group after intervention were lower(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion In the continuous nursing of children with hypospadias after surgery,the family empowerment supervision and follow-up nursing model can effectively improve the psychological state of children,enhance family care ability,promote the recovery process of children after surgery,and reduce the occurrence of complications.
王晓晴;田可清
江苏省徐州市中心医院小儿外科,江苏 徐州 221000江苏省徐州市中心医院小儿外科,江苏 徐州 221000
医药卫生
小儿尿道下裂家庭赋权-督导跟进护理延续性护理疼痛心理状态
ChildrenHypospadiasFamily empowerment supervision and follow-up nursingContinuous nursingPainPsychological state
《妇儿健康导刊》 2026 (4)
127-131,136,6
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