两种不同照护模式下脊柱侧凸患儿手术相关并发症的比较分析

蒋小平; 颜莉; 陈霞

doi:10.13406/j.cnki.cyxb.000829

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两种不同照护模式下脊柱侧凸患儿手术相关并发症的比较分析

骨科学 | 更新时间：2024-01-17

- 两种不同照护模式下脊柱侧凸患儿手术相关并发症的比较分析
- Comparative analysis of surgery related complications of children with scoliosis between two different care modes
- 重庆医科大学学报 2016年41卷第2期页码：155-158
- 作者机构：
  
  1. 重庆医科大学附属儿童医院护理部
  2. 重庆医科大学附属儿童医院重症医学科
  3. 重庆医科大学附属儿童医院骨二科
- 作者简介：
- 基金信息：
  
  重庆市医学科研计划资助项目（编号:2013-2-052）;国家临床重点专科建设经费资助项目（编号:国卫办医函[2013]544号）
- DOI：10.13406/j.cnki.cyxb.000829
  中图分类号： R726.8
- 纸质出版日期：2016，
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[1]蒋小平,颜莉,陈霞.两种不同照护模式下脊柱侧凸患儿手术相关并发症的比较分析[J].重庆医科大学学报,2016,41(02):155-158.

Jiang Xiaoping, Yan Li, Chen Xia. Comparative analysis of surgery related complications of children with scoliosis between two different care modes[J]. Journal of Chongqing Medical University, 2016,41(2):155-158.
[1]蒋小平,颜莉,陈霞.两种不同照护模式下脊柱侧凸患儿手术相关并发症的比较分析[J].重庆医科大学学报,2016,41(02):155-158. DOI： 10.13406/j.cnki.cyxb.000829.

Jiang Xiaoping, Yan Li, Chen Xia. Comparative analysis of surgery related complications of children with scoliosis between two different care modes[J]. Journal of Chongqing Medical University, 2016,41(2):155-158. DOI： 10.13406/j.cnki.cyxb.000829.

摘要

目的:比较传统照护模式与医护协同照护模式对脊柱侧凸患儿手术相关并发症的发生情况

寻找有利于提高脊柱侧凸患儿术后生存质量的照护模式。方法:以2005年6月至2014年8月在我院行脊柱侧凸椎弓根钉棒系统内固定矫正手术的102例患者为研究对象

按照2种照护模式实施时间为分界点

将患儿分为传统照护模式组（对照组）和医护协同照护组（实验组）。分析比较2组患儿住院时间、手术时间、麻醉时间、术后镇痛剂使用时间、术后发热天数、术后第1次排便时间及手术后并发症等。结果:2组患儿在手术时间、麻醉时间、术后镇痛剂使用时间无明显差异

平均住院时间、术后发热天数、术后第1次排便时间及术后并发症等存在差异。结论:对脊柱侧凸手术患儿实施医护协同照护干预

能明显减少患儿住院时间

减少术后术后发热天数、术后第1次排便时间和术后并发症

有助于促进患儿术后康复

值得推广应用。

Abstract

Objective:To compare the incidence of surgery related complications of children with scoliosis between traditional care mode and doctor-nurse collaborative care mode

and to look for the better care mode to improve the postoperative quality of life of those patients. Methods:Totally 102 patients receiving scoliosis correction surgery from June of 2005 to August of 2014 were selected as the research objects. On the basis of the two care models

implementation time was taken as the cut-off point and the patients were divided into traditional care model group and doctor-nurse collaborative care mode group. Length of hospital stay

operative time

anesthesia time

postoperative analgesia

postoperative fever days

the first defecation time and postoperative complications of the two groups were compared. Results:There was no difference in operative time

anesthesia time

postoperative analgesia between two groups(P>0.05). The length of hospital stay

postoperative fever days

the first defecation time and postoperative complications were significantly different between two groups(P<0.05). Conclusion:Doctor-nurse collaborative care mode can significantly reduce the length of hospital stay

reduce postoperative fever days

shorten the first defecation time and reduce the postoperative complications. The care mode is conducive to the postoperative recovery of hospitalization children.

关键词

照护模式医护协同照护脊柱侧凸儿童术后护理

Keywords

care modedoctor-nurse collaborative care modescoliosischildrenpostoperative care

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