Application of family oriented nursing combined with suggestive psychological nursing in stoma care for children after intestinal fistula surgery
亲情化护理结合暗示性心理护理在肠造瘘术后患儿造口护理中的应用

摘要

目的 探讨在肠造瘘术后患儿造口护理中采用亲情化护理联合暗示性心理护理的应用效果。方法 选取本院2023年2月至2024年8月收治的45例肠造瘘术后患儿，根据随机数字表法分组，对照组（22例，常规造口护理），观察组（23例，常规造口护理+亲情化护理+暗示性护理）。比较两组护理效果。结果 观察组患儿首个造口袋使用时长和更换造口袋间隔时间长于对照组，造口袋护理费用低于对照组，护理后患儿家长的造口护理质量评分高于对照组，且患儿护理期间造口相关并发症发生率低于对照组（P＜0.05）。结论 对肠造瘘术后患儿造口护理中实施亲情化护理联合暗示性心理护理效果显著，值得推广。

Abstract

Objective To explore the application effect of using family oriented nursing combined with suggestive psychological nursing in the care of children with colostomy after intestinal fistula surgery.
Methods 45 children who underwent intestinal fistula surgery in our hospital from February 2023 to August 2024 were selected and randomly divided into a control group (22 cases, receiving routine stoma care) and an observation group (23 cases, receiving routine stoma care, caring for family members, and suggestive care) using a random number table method. Compare the nursing effects of two groups.
Results The observation group had a longer duration of using the first ostomy bag and a longer interval between changing ostomy bags than the control group. The cost of ostomy care was lower than that of the control group. After nursing, the quality score of ostomy care for the parents of the children was higher than that of the control group, and the incidence of ostomy related complications during the nursing period of the children was lower than that of the control group (P<0.05).
Conclusion   The implementation of family oriented nursing combined with suggestive psychological nursing in stoma care for children after intestinal fistula surgery has significant effects and is worthy of promotion.