首页|期刊导航|妇儿健康导刊|家庭护理模式在斜视患儿围手术期管理中的应用

家庭护理模式在斜视患儿围手术期管理中的应用OA

Application of family-centered nursing model in perioperative management of children undergoing strabismus surgery

中文摘要英文摘要

目的 观察家庭护理模式在斜视患儿围手术期管理中的应用效果,为优化围手术期护理路径提供依据.方法 于 2024 年 6 月至10 月在南昌大学第二附属医院眼科纳入拟行斜视矫正手术患儿 80 例,按时间顺序分为对照组和试验组,每组各 40 例.对照组接受常规围手术期护理,试验组在常规护理基础上联合实施家庭护理模式干预.比较两组患儿的术前焦虑评分、术后苏醒期谵妄评分及患儿主要照顾者对护理服务的满意度.结果 试验组患儿术前焦虑评分低于对照组,差异有统计学意义(P<0.05).试验组患儿术后30 min谵妄严重程度低于对照组(P<0.05).试验组患儿照顾者的中文版照护过程测量表-20 总分及各维度得分均高于对照组(P<0.05).结论 家庭护理模式可有效缓解斜视患儿术前焦虑,减轻术后谵妄严重程度,同时提升照护者对护理服务的满意度,具有良好的临床推广价值.

Objective To observe the application effect of family-centered nursing model in perioperative management of children undergoing strabismus surgery,and to provide evidence for optimizing perioperative care pathways.Methods This prospective controlled study was conducted in the Department of Ophthalmology at the Second Affiliated Hospital of Nanchang University from June to October 2024.A total of 80 pediatric patients scheduled for strabismus surgery were included and divided into a control group(n=40)and an intervention group(n=40)using a time-based grouping method.The control group received standard perioperative care,while the intervention group received additional family-centered nursing intervention.Preoperative anxiety score,postoperative delirium scores during the recovery period,and primary caregivers'satisfaction with nursing service were compared between the two groups.Results The intervention group showed lower preoperative anxiety score compared to the control group(P<0.05).The severity of emergence delirium was also reduced in the intervention group compared to the control group(P<0.05).In addition,caregivers in the intervention group reported higher satisfaction scores across all measure of processes of care-20 dimensions compared to the control group(P<0.05).Conclusion The family-centered nursing model effectively reduces preoperative anxiety and postoperative delirium in children undergoing strabismus surgery,while enhancing caregiver satisfaction.It holds clinical value for broader application.

谢余婷;李志豪;张池;郑青玉

南昌大学第二附属医院麻醉苏醒室,江西 南昌 330000南昌大学第二附属医院麻醉苏醒室,江西 南昌 330000南昌大学第二附属医院麻醉苏醒室,江西 南昌 330000南昌大学第二附属医院麻醉苏醒室,江西 南昌 330000

医药卫生

家庭护理儿童斜视麻醉苏醒室苏醒期谵妄

Family-centered nursingChildrenStrabismusAnesthesia recovery roomEmergence delirium

《妇儿健康导刊》 2026 (5)

107-110,115,5

江西省卫生健康委科技计划(202310565).

10.3969/j.issn.2097-115X.2026.05.023

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