舒适护理对扁桃体切除术患儿疼痛及生活质量的影响。

Effects of comfort nursing on pain and quality of life in children undergoing tonsillectomy.

作者信息

Jiang Meijuan, Li Wei, Fang Zonglan, Wang Wenjuan, Yang Junpeng, Zhu Xiaoyan, Li Suting, Liu Sudan, Lu Tao

机构信息

Department of Surgery, Chun'an Hospital of Traditional Chinese Medicine Hangzhou 311700, Zhejiang, China.

Department of Outpatient, Yantai Penglai People's Hospital Yantai 265600, Shandong, China.

出版信息

Am J Transl Res. 2023 Feb 15;15(2):1159-1167. eCollection 2023.

PMID:36915793

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10006826/

Abstract

OBJECTIVE

To observe the effect of comfort nursing on pain, quality of life, and nutritional status in children undergoing tonsillectomy.

METHODS

In this retrospective study, a total of 114 children who underwent tonsillectomy in Chun'an Hospital of Traditional Chinese Medicine were divided into a research group and a control group according to the nursing methods, with 57 cases in each group. The control group received routine nursing care, and the research group received additional comfort nursing. We compared the pain level (assessed by visual analogue scale (VAS) scale), quality of life (assessed by Generic Quality of Life Inventory-74 (GQOLI-74)), relevant clinical indicators (postoperative swallowing recovery time, wake-up time, and hospital stay), nutrition indicators (total blood protein and albumin), sleep quality (assessed by Pittsburgh Sleep Quality Index (PAQI)), nursing satisfaction, and postoperative complications between the two groups.

RESULTS

After postoperative nursing, the VAS scores and PSQI scores were significantly decreased (both P<0.05), and the GQOLI-74 scores were significantly increased (P<0.05) in both groups. The postoperative swallowing recovery time, wake-up time, and hospital stay in the research group were significantly shorter than those in the control group (all P<0.05). The levels of total serum protein and albumin in the research group were significantly higher than those in the control group (both P<0.05). The research group showed a significantly higher satisfaction rate and lower incidence of complications as compared with the control group (both P<0.05). The results of the logistic regression analysis showed that postoperative upper respiratory infection and the degree of tonsillar embedment were independent risk factors for hemorrhage after tonsillectomy (P<0.05).

CONCLUSION

In children undergoing tonsillectomy, providing comfort nursing can significantly reduce pain and improve their quality of life.

摘要

目的

观察舒适护理对扁桃体切除术患儿疼痛、生活质量及营养状况的影响。

方法

在这项回顾性研究中，淳安县中医医院114例行扁桃体切除术的患儿按护理方法分为研究组和对照组，每组57例。对照组接受常规护理，研究组在常规护理基础上增加舒适护理。比较两组患儿的疼痛程度（采用视觉模拟评分法（VAS）评估）、生活质量（采用生活质量综合评定问卷-74（GQOLI-74）评估）、相关临床指标（术后吞咽恢复时间、苏醒时间及住院时间）、营养指标（总血蛋白和白蛋白）、睡眠质量（采用匹兹堡睡眠质量指数（PSQI）评估）、护理满意度及术后并发症。

结果

术后护理后，两组患儿的VAS评分和PSQI评分均显著降低（均P<0.05），GQOLI-74评分均显著升高（P<0.05）。研究组患儿术后吞咽恢复时间、苏醒时间及住院时间均显著短于对照组（均P<0.05）。研究组患儿血清总蛋白和白蛋白水平均显著高于对照组（均P<0.05）。研究组患儿的护理满意度显著高于对照组，并发症发生率显著低于对照组（均P<0.05）。Logistic回归分析结果显示，术后上呼吸道感染和扁桃体嵌顿程度是扁桃体切除术后出血的独立危险因素（P<0.05）。