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现代护理医学杂志

Journal of Modern Nursing Medicine

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Journal of Modern Nursing Medicine. 2022; 1: (2) ; 10.12208/j. jmnm.202200122 .

Application of evidence-based nursing in cleaning enema of megacolon in children
循证护理在小儿巨结肠清洁灌肠中的应用效果

作者: 张丽娟 *, 贺玲玲

西安国际医学中心医院 陕西西安

*通讯作者: 张丽娟,单位:西安国际医学中心医院 陕西西安;

引用本文: 张丽娟, 贺玲玲 循证护理在小儿巨结肠清洁灌肠中的应用效果[J]. 现代护理医学杂志, 2022; 1: (2) : 170-172.
Published: 2022/7/2 20:01:34

摘要

目的:分析对小儿巨结肠患儿实施循证护理下清洁灌肠的效果。方法:从 2019 年 9 月-2022 年 1 月期间由于存在小儿巨结肠疾病入院接受诊治的患儿内随机选择 30 例进行分析,根据对患儿实施的护 理模式对其进行分组,即实验与对照,每组内 15 例患儿。对照组接受常规的灌肠护理,实验组则接受循证 护理清洁灌肠,对比相关指标。结果:实验组灌肠有效率为 93.33%,而对照组灌肠有效率为 53.33%,且 P <0.05。此外,实验组患者的症状消失实现也显著高于对照组,P<0.05。患儿治疗前 SAS 及 SDS 评分对比 无差异,治疗后评分对比中,实验组显著好于对照组(P<0.05)。结论:对小儿巨结肠进行灌肠的过程中, 在循证护理模式下对患儿实施清洁灌肠,可以提高灌肠有效率,缩短症状消失时间,改善不良情绪,值得 临床积极使用。

关键词: 循证护理;小儿巨结肠;清洁灌肠

Abstract

Objective: to analyze the effect of cleaning enema under evidence-based nursing on children with megacolon.
Methods: from january2019 to january2022, 60 children with Hirschsprung's disease were randomly selected for analysis. They were divided into groups according to the nursing mode, i.e. experiment and control. There were 30 children in each group. The control group received routine enema nursing, the experimental group received evidence-based nursing cleaning enema, and the related indexes were compared.
Results: the effective rate of enema was 93.33% in the experimental group and 70% in the control group (P < 0.05). In addition, the realization of symptom disappearance in the experimental group was also significantly higher than that in the control group (P < 0.05). There was no difference in SAS and SDS scores before treatment. In the comparison of scores after treatment, the experimental group was significantly better than the control group (P < 0.05).
Conclusion  : in the process of enema for children with Hirschsprung's disease, the implementation of clean enema for children under the evidence-based nursing model can improve the enema efficiency, shorten the time of symptom disappearance, and improve bad mood. It is worthy of active clinical use.

Key words: Evidence based nursing; Megacolon in children; Cleaning enema

参考文献 References

[1] 周玉洁. 围术期细节护理在腹腔镜辅助改良 Soave 术根治小儿先天性巨结肠中应用[J]. 医学食疗与健康,2022,20(03):151-153+163.

[2] 严冬钰. 精细化护理干预在小儿先天性巨结肠根治术患儿中的应用及对失禁相关性皮炎的预防[J]. 医学食疗与健康,2022,20(01):156-158.

[3] 史雯嘉,熊紫薇,黄燕,方觅晶,汤绍涛. 基于循证的全麻苏醒期躁动预防方案在机器人巨结肠手术中的应用实践[J]. 机器人外科学杂志(中英文),2022,3(01):33-41.