Xue Ning-Ning, Li Xiang-Jing, Liu Zhao-Ming, Tian Fei, Wang Li-Bo, Wang Jia-Huan
Department of Pediatric Surgery, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang 050006, Hebei Province, China.
Department of Plastic Surgery, Hebei Children's Hospital, Shijiazhuang 050000, Hebei Province, China.
World J Gastrointest Surg. 2025 May 27;17(5):103141. doi: 10.4240/wjgs.v17.i5.103141.
Acute appendicitis is common among pediatric patients, and postoperative infections and complications are significant factors that affect recovery. As a "forward-looking" nursing model, anticipatory care may reduce the incidence of postoperative wound infections and complications.
To explore the effects of anticipatory care on the management of postoperative infections and complications in pediatric patients diagnosed with acute appendicitis.
This prospective randomized controlled study included data from 78 pediatric patients who underwent acute appendicitis surgery at Shijiazhuang Sixth Hospital (Hebei Province, China) between February 2021 and March 2024. Patients were divided into two groups: The intervention and control groups ( = 39 each) were based on a random numbers table method. Both groups received routine postoperative nursing care, whereas the intervention group received additional anticipatory care. Statistical analyses were performed using independent sample -tests, tests, analysis of variance, and rank-sum tests.
Postoperative pain scores and hospital length of stay were significantly lower in the intervention group than those in the control group ( < 0.05 and < 0.001, respectively). Postoperative wound infection and overall complication rates were significantly lower in the intervention group than those in the control group (5.13% 23.08%, < 0.001; 15.38% 46.15%, < 0.001, respectively). Furthermore, parental satisfaction scores were significantly higher in the intervention group than those in the control group ( < 0.05). Logistic regression identified high C-reactive protein level as a risk factor for postoperative infections and complications, whereas proactive ( anticipatory) nursing intervention was a protective factor.
This study provided a scientific basis for the implementation of anticipatory care in the postoperative management of pediatric patients experiencing acute appendicitis.
急性阑尾炎在儿科患者中很常见，术后感染和并发症是影响康复的重要因素。作为一种“前瞻性”护理模式，预期性护理可能会降低术后伤口感染和并发症的发生率。
探讨预期性护理对诊断为急性阑尾炎的儿科患者术后感染和并发症管理的影响。
这项前瞻性随机对照研究纳入了2021年2月至2024年3月期间在石家庄市第六医院（中国河北省）接受急性阑尾炎手术的78例儿科患者的数据。患者分为两组：干预组和对照组（每组n = 39），采用随机数字表法分组。两组均接受术后常规护理，而干预组还接受额外的预期性护理。使用独立样本t检验、χ²检验、方差分析和秩和检验进行统计分析。
干预组的术后疼痛评分和住院时间显著低于对照组（分别为P < 0.05和P < 0.001）。干预组的术后伤口感染率和总体并发症发生率显著低于对照组（分别为5.13% 比23.08%，P < 0.001；以及15.
