Wu Lijuan, Lin Ying, Xue Ruiyun, Guo Bin, Bai Jianxi
Department of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Maternity and Child Health Hospital, Fuzhou, 350001, P. R. China.
BMC Nurs. 2023 Jan 12;22(1):13. doi: 10.1186/s12912-023-01177-0.
Temporary enterostomy is an effective treatment for various neonatal intestinal diseases. However, family caregivers find it challenging to provide the required nursing care. Nursing management is very important for reducing parents' anxiety and improving the patients' quality of life. This research aimed to compare the effects of continuous nursing using the WeChat platform with traditional nursing for neonates after enterostomy.
Neonates who underwent enterostomy from January 2014 to December 2020 in our hospital were retrospectively analysed. The patients were divided into the traditional nursing group and the continuous nursing group. The peri-stomal skin was evaluated with the DET scale. The mental status of the families was evaluated with the SAS and SDS.
There were 143 patients in the traditional nursing group (TG) and 165 in the continuous nursing group (CG). The mean weight was 2.7 ± 0.6 kg in TG and 2.8 ± 0.5 kg in CG. The mean age at surgery was 4.9 ± 7.3 d in TG and 4.8 ± 7.55 d in the CG. No statistically significant differences between the two groups were found in the demographic information. The continuous nursing group had an obviously lower DET score for the peri-stomal skin than the traditional nursing group (P = 0.003). Three months after discharge from the hospital, the continuous nursing group replaced 7.2 ± 1.8 ostomy bags every week, significantly less than the traditional nursing group (P = 0.002). Three months after discharge, the continuous nursing group had better SAS and SDS scores than the traditional nursing group.
Continuous nursing based on WeChat can effectively improve the quality of life of neonates after enterostomy. Family members can also receive proper psychological counselling to relieve their anxiety and depression.
临时肠造口术是治疗各种新生儿肠道疾病的有效方法。然而，家庭护理人员发现提供所需的护理具有挑战性。护理管理对于减轻父母的焦虑和提高患者的生活质量非常重要。本研究旨在比较使用微信平台的持续护理与传统护理对肠造口术后新生儿的效果。
回顾性分析2014年1月至2020年12月在我院接受肠造口术的新生儿。将患者分为传统护理组和持续护理组。采用DET量表评估造口周围皮肤情况。采用SAS和SDS评估家庭的心理状态。
传统护理组（TG）有143例患者，持续护理组（CG）有165例。TG组平均体重为2.7±0.6kg，CG组为2.8±0.5kg。TG组手术时的平均年龄为4.9±7.3天，CG组为4.8±7.55天。两组在人口统计学信息方面未发现统计学显著差异。持续护理组造口周围皮肤的DET评分明显低于传统护理组（P = 0.003）。出院三个月后，持续护理组每周更换7.2±1.8个造口袋，明显少于传统护理组（P = 0.002）。出院三个月后，持续护理组的SAS和SDS评分优于传统护理组。
基于微信的持续护理可有效提高肠造口术后新生儿的生活质量。家庭成员也能得到适当的心理咨询，以缓解焦虑和抑郁情绪。
