Department of Plastic and Cosmetic Maxillofacial Surgery, First Affiliated Hospital of Xi'an Jiaotong University, No. 277 Yanta West Road, Xi'an, 710061, Shaanxi, China.
BMC Oral Health. 2021 Nov 23;21(1):602. doi: 10.1186/s12903-021-01893-6.
The aim of this study was to assess the effect of high-quality nursing based on the concept of childlike interest in children with cleft lip and palate following operation on healing time, degree of pain, psychological state, quality of life, and the occurrence of complications.
A series of 62 children with cleft lip and palate was treated in our hospital from January 2019 to March 2021. The patients were randomly divided into observation group (31 cases, given high-quality nursing based on childlike interest) and control group (31 cases, given routine nursing intervention). The healing time and hospital stay of the two groups were recorded. The degree of pain, psychological state and quality of life of the two groups before and after intervention were compared, and the occurrence of complications was closely monitored.
Compared with the control group, the healing time and hospital stay of the study group were significantly shorter after the intervention (P < 0.05). Before the intervention, no significant difference was identified in pain score between the two groups (P < 0.05), after the intervention, however, the pain score of the study group was significantly lower compared with the control group (P < 0.05). Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) scores of the two groups were comparable before intervention (P > 0.05), while after intervention the SDS and SAS scores of the two groups were lower than those before treatment. Compared with the control group, the SDS and SAS scores of the study group were remarkably lower (P < 0.05). Before the intervention, the quality of life scores of the two groups were comparable (P > 0.05), while after the intervention, the scores of quality of life in the two groups were associated with lower outcomes. Compared with the control group, the scores of quality of life in the study group were significant lower (P < 0.05). After the intervention, there were evident fewer incidence of complications in the study group compared to the control group (P < 0.05).
High quality nursing based on childlike interest exerted beneficial outcomes in terms of shortening the healing time and hospital stay, reducing the degree of pain and complications, as well as improving the psychological state and quality of life of children harboring cleft lip and palate. Additionally, its high safety feature contributes to the wide application for clinical practice.
本研究旨在评估基于童真理念的优质护理对唇腭裂患儿术后愈合时间、疼痛程度、心理状态、生活质量和并发症发生的影响。
选取 2019 年 1 月至 2021 年 3 月在我院接受治疗的 62 例唇腭裂患儿，随机分为观察组（31 例，给予基于童真理念的优质护理）和对照组（31 例，给予常规护理干预）。记录两组的愈合时间和住院时间。比较两组干预前后的疼痛程度、心理状态和生活质量，密切监测并发症的发生情况。
与对照组相比，观察组干预后的愈合时间和住院时间明显缩短（P<0.05）。干预前，两组疼痛评分无显著差异（P<0.05），干预后，观察组疼痛评分明显低于对照组（P<0.05）。两组干预前的抑郁自评量表（SDS）和焦虑自评量表（SAS）评分无显著差异（P>0.05），干预后两组的 SDS 和 SAS 评分均低于治疗前。与对照组相比，观察组 SDS 和 SAS 评分明显降低（P<0.05）。干预前两组生活质量评分无显著差异（P>0.05），干预后两组生活质量评分均降低。与对照组相比，观察组生活质量评分明显降低（P<0.05）。干预后观察组并发症发生率明显低于对照组（P<0.05）。
基于童真理念的优质护理可缩短唇腭裂患儿的愈合时间和住院时间，减轻疼痛程度和并发症发生率，改善心理状态和生活质量，且安全性高，值得临床推广应用。
