Application of nurse-led chain management in extended care of children with Hirschsprung’s disease (以护士为主导的链式管理模式在先天性巨结肠患儿延续性护理中的应用)

Abstract

Objective To investigate the application of nurse-led chain management in extended care of children undergoing surgical treatment for Hirschsprung’s disease. Methods Totally 60 children with Hirschsprung’s disease were divided into control group and observation group according to the sequence of hospital admission, with 30 cases in each group. The control group received routine perioperative nursing management, and a nurse-led chain management model was adopted in perioperative nursing management and extended care of children in the observation group. Intervention efficacy was evaluated via incidence of postoperative complications and satisfaction of children’s parents. Results The incidence of postoperative complications in the observation group was lower than that in the control group(P＜0. 05). Parents of children in the observation group were more satisfied with nursing service compared with those in the control group(P＜0. 01). Conclusion The nurse-led chain management in extended care is potentially effective to reduce the risk of postoperative complications and improve the quality of life of children with Hirschsprung’s disease. (目的 探讨以护士为主导的链式管理模式在先天性巨结肠患儿术后延续性护理中的应用效果。方法 将60例先天性巨结肠患儿按照入院时间分为对照组与观察组, 各30例。对照组接受常规先天性巨结肠围手术期管理模式, 观察组采用链式管理协同延续护理模式。干预6个月后评价效果。结果 观察组术后并发症发生率低于对照组, 差异有统计学意义(P＜0. 05)。观察组患儿家属对护理工作的满意度高于对照组, 差异有统计学意义(P＜0. 01)。结论 以护士为主导的链式管理模式有利于减少术后并发症的发生, 对提升先天性巨结肠患儿术后生活质量具有积极意义。)

Keywords

• hirschsprung’s disease
• chain management
• extended care
• postoperative complications
• nurse-led
• 先天性巨结肠
• 链式管理
• 延续性护理
• 术后并发症
• 以护士为主导