基于目视管理理论的图示法在学龄期扁桃体切除术患儿中的应用效果

doi:10.3969/j.issn.2095-378X.2020.03.019

摘要/Abstract

摘要： 目的探讨基于目视管理理论的图示法在学龄期扁桃体切除术患儿中的应用效果。方法选取2019年6月—2020年3月期间儿科耳鼻喉专科收治的学龄前扁桃体切除术患儿160例为研究对象,采用随机数字表法将其分为传统护理宣教组（传宣组）和图示法护理宣教组（图宣组）各80例。传宣组和图宣组都在给予常规护理基础上,传宣组给予传统护理宣教干预,图宣组给予基于目视管理理论的图示法宣教干预,观察并比较两组患儿在宣教时间、手术时间、住院时间、手术并发症以及围术期护理满意度情况。结果实施基于目视管理理论的图示法宣教干预后,图宣组患儿的宣教时间、手术时间以及住院时间均明显短于传宣组（P<0.05）;图宣组患儿的术后并发症发生率显著低于传宣组（P<0.05）;图宣组患儿的围术期护理满意度情况显著优于传宣组（P<0.05）。结论基于目视管理理论的图示法宣教干预可显著缩短学龄期扁桃体切除术患儿的宣教时间、手术时间以及住院时间,有效地控制和避免术后并发症的发生,提升了患儿及其家属对围术期护理满意度,建立良好的护患关系,增强患儿依从性,加快术后康复进程,对患儿获取优质预后结局具有重要作用,值得临床推广和应用。

关键词: 目视管理, 图示法, 学龄期, 扁桃体切除术, 应用效果

Abstract: Objective To explore the application of graphic method based on visual management theory in school-age children with tonsillectomy. Methods A total of 160 school-age children admitted to pediatric otolaryngology department for tonsillectomy from June 2019 to March 2020 were selected and divided by random number table method into a traditional nursing and education group （traditional group, n=80） and a nursing and education group using graphic method （graphic group, n=80）. On the basis of routine nursing, the traditional group were intervened by traditional nursing and education, and the graphic group by the nursing and education using graphic method based on visual management theory. The two groups were compared in education time, operation time, hospital stay, surgical complications, and perioperative nursing care satisfaction. Results After the intervention of nursing and education using graphic method based on visual management theory, the education time, operation time, and hospitalization time of the children in the graphic group were significantly shorter than those in the traditional group （P < 0.05）, the incidence rate of postoperative complications was significantly lower （P<0.05）, and the perioperative nursing care satisfaction was significantly higher （P<0.05）. Conclusion The intervention of nursing and education using graphic method based on visual management theory can significantly shorten education time, operation time, and hospital stay of the children with tonsillectomy, effectively control the occurrence of postoperative complications, and improve the perioperative nursing care satisfaction of the children and their families, thereby establish a good nurse-patient relationship, enhance the compliance of the children, and accelerate post-operation rehabilitation. Such an intervention is important for children to obtain high-quality prognosis outcomes and is worthy of clinical popularization and application.

Key words: Visual management, Graphical method, School-age, Tonsillectomy, Application effects

中图分类号:

R615

梁雪景, 马瑞芳, 阮伊莎. 基于目视管理理论的图示法在学龄期扁桃体切除术患儿中的应用效果[J]. 外科研究与新技术, 2020, 9(3): 214-218.

LIANG Xuejing, MA Ruifang, RUAN Yisha. Application of graphic method based on visual management theory in school-age children with tonsillectomy[J]. Surgical Research and New Technique, 2020, 9(3): 214-218.

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