Analysis of early eating disorders in children undergoing non gastrointestinal general anesthesia surgery based on i-PARIHS model and its clinical application
基于i-PARIHS模型的非胃肠道全身麻醉术后患儿早期进食的障碍因素分析及临床运用

摘要

目的 探讨基于i-PARIHS模型的非胃肠道全身麻醉术后患儿早期进食的障碍因素，并分析其临床运用效果。方法 选取2023年1月-2023年12月期间在本院行非胃肠道全身麻醉手术的100例患儿，以随机摸球为基础分组方式，分为对照、研究两个小组，观察例数相同，均为50例。对照组给予常规护理，研究组则基于i-PARIHS模型评估结果实施护理干预，收集两组患儿护理数据，分析护理效果。结果 障碍因素分析显示，营养支持策略不当、喂养方式不匹配、手术类型与进食时机安排不合理、术后饮食管理不规范是影响患儿术后早期进食的障碍因素。经护理干预后，研究组术后首次进食时间早于对照组（P<0.05），术后不良反应发生率低于对照组（P<0.05），家长满意度高于对照组（P<0.01）。结论 影响非胃肠道全身麻醉患儿术后早期进食的因素较多，临床应根据患儿情况给予针对性护理干预，以帮助其恢复早期进食，降低并发症发生率，提高家长满意度。

Abstract

Objective To explore the factors causing early eating disorders in children undergoing non gastrointestinal general anesthesia based on the i-PARIHS model, and analyze its clinical application effect.
Methods Select 100 pediatric patients who underwent non gastrointestinal general anesthesia surgery in our hospital from January 2023 to December 2023, and divide them into two groups based on random ball touching: control group and study group. The number of observed cases is the same, both with 50 cases. The control group received routine care, while the study group implemented nursing interventions based on the i-PARIHS model evaluation results. Nursing data was collected from both groups of children to analyze the nursing effects.
Results Analysis of obstacle factors showed that improper nutritional support strategies, mismatched feeding methods, unreasonable arrangement of surgical types and feeding timing, and non-standard postoperative dietary management were the obstacle factors affecting early postoperative feeding in children. After nursing intervention, the study group had an earlier first meal intake time after surgery than the control group (P<0.05), a lower incidence of postoperative adverse reactions than the control group (P<0.05), and higher parental satisfaction than the control group (P<0.01).
Conclusion   There are many factors that affect early postoperative feeding in children undergoing non gastrointestinal general anesthesia. Clinically, targeted nursing interventions should be provided based on the patient's condition to help them recover early feeding, reduce the incidence of complications, and improve parental satisfaction.