Neonatal Intensive Care Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou730050, Gansu, China.
Department of Pediatric Surgery, The First Hospital of Lanzhou University.Lanzhou730000, Gansu, China.
Comput Intell Neurosci. 2022 Apr 10;2022:4147217. doi: 10.1155/2022/4147217. eCollection 2022.
This research paper elucidates the clinical effect of an integrated nursing model of medical care and patient in the diagnosis and treatment of congenital esophageal atresia (CEA). For this purpose, a total of 120 children with CEA were selected as study subjects who were admitted to our hospital (January 2017 to April 2020). They were randomly divided into the control group and observation group. Each group had 60 cases. The control group was given routine nursing, while the observation group adopted the integrated nursing model of medical care. The integrated nursing model had the characteristics of recognizing and managing the CEA quickly and efficiently. Thus, it can help increase the survival rate of infants. This model works along with the parents to provide specialized services to the child. They were tasked to carefully observe the infants as well as calm the parents. They were also given the additional task of keeping track of patients who were currently admitted in the hospital and those who were already discharged. The tracking and communication were done with the help of a communication platform which is WeChat. The rehospitalization rate, 1-hour visit rate, accuracy rate of children with suspected postoperative complications, psychological status of children's parents, medical compliance, and satisfaction were compared between the two groups. The rehospitalization rate in the observation group was lower than that in the control group ( < 0.05). The 1-hour visit rate and accuracy of children with suspected postoperative complications in the observation group were higher than those in the control group ( < 0.05). The anxiety and depression scores of the parents in the observation group were lower than those in the control group ( < 0.05). The compliance and satisfaction of parents in the observation group were higher than those in the control group ( < 0.05). The clinical effect of the integrated nursing model of medical care and patient in CEA was highly satisfactory. It reduces the rehospitalization rate and enables timely diagnosis and treatment of suspicious complications effectively. It also improved parents' negative psychological emotions, compliance, and satisfaction.
本研究论文阐明了医疗保健和患者综合护理模式在先天性食管闭锁(CEA)诊断和治疗中的临床效果。为此,选择了 120 名患有 CEA 的儿童作为研究对象,他们于 2017 年 1 月至 2020 年 4 月入住我院。他们被随机分为对照组和观察组,每组 60 例。对照组给予常规护理,观察组采用医疗保健综合护理模式。综合护理模式的特点是快速有效地识别和管理 CEA,从而有助于提高婴儿的生存率。该模式与父母合作,为孩子提供专业服务。他们负责仔细观察婴儿并安抚父母。他们还负责跟踪当前住院和已出院的患者。跟踪和沟通是借助微信等沟通平台完成的。比较两组患者的再入院率、1 小时就诊率、疑似术后并发症患儿的准确率、患儿父母的心理状态、医疗依从性和满意度。观察组的再入院率低于对照组(<0.05)。观察组 1 小时就诊率和疑似术后并发症患儿准确率高于对照组(<0.05)。观察组患儿父母的焦虑和抑郁评分低于对照组(<0.05)。观察组患儿父母的依从性和满意度均高于对照组(<0.05)。医疗保健和患者综合护理模式在 CEA 中的临床效果非常满意。它降低了再入院率,能够有效及时地诊断和治疗可疑并发症。还改善了父母的负面心理情绪、依从性和满意度。