Pfeil Michael, Mathur Azad, Singh Shalini, Morris Chris, Green Gill, Kulkarni Milind
Nursing and Midwifery Research Unit, Faculty of Health, University of East Anglia, Norwich, UK.
J Child Health Care. 2007 Sep;11(3):208-20. doi: 10.1177/1367493507079565.
Fifty-six children in two groups were discharged within 24 hours of an uncomplicated appendicectomy. While the children in the first group (N = 21) were visited by a nurse at home within 24 hours of discharge, the second group (N = 35) just received telephone calls. The cohort was evaluated by telephone interviews two weeks after discharge. All children fulfilling the discharge standards were discharged safely within 24 hours of surgery. Any physical complaints post-discharge were considered minor. The nurses were able to provide reassurance to the families, give advice and deal with minor problems. As a result the families felt safe and reassured, and in only one case did the fragility of parental confidence become obvious. This study has demonstrated the safety of discharging these children within 24 hours of surgery and the value to nursing contacts in enabling the families to care for their children at home.
两组共56名儿童在进行简单阑尾切除术后24小时内出院。第一组（N = 21）的儿童在出院后24小时内由护士进行家访，而第二组（N = 35）仅接到电话随访。出院两周后通过电话访谈对该队列进行评估。所有符合出院标准的儿童均在手术后24小时内安全出院。出院后的任何身体不适均被视为轻微症状。护士能够安抚家人、提供建议并处理小问题。结果，家人感到安全放心，只有一例家长信心的脆弱性变得明显。这项研究证明了这些儿童在手术后24小时内出院的安全性，以及护理接触对于使家庭能够在家照顾孩子的价值。
