小儿消化道异物经胃镜下取出术的护理方法研究(1)
DOI：10.16662/j.cnki.1674-0742.2019.35.120
[摘要] 目的 研究小兒消化道异物经胃镜下取出术的临床配合要点及效果。方法 方便选取该院2016年8月—2018年12月收治的124例实施经胃镜下取出术的小儿消化道异物患儿作为研究对象，依照奇偶数法进行分组，各62例，对照组予以常规护理，研究组予以优质护理，对两组异物清除效果及心理状况变化、并发症发生情况进行比较。 结果 对照组患儿的异物清除率93.5%比研究组100%低，组间差异有统计学意义(χ2=4.133 ，P=0.042 );两组术前SAS评分相比，差异无统计学意义(t=0.641 ，P=0.523);术中与术后的SAS评分经比较，研究组均比对照组低，组间显示出的差异有统计学意义(t=13.464、20.934，P<0.05);对照组并发症发生率与研究组的并发症发生率展开对比，研究组比对照组低，差异有统计学意义(χ2=5.522，P=0.019)。 结论 小儿消化道异物经胃镜下取出术中实施优质护理有利于改善患儿负性情绪，提高手术成功率。
[关键词] 胃镜下取出术;小儿消化道异物;常规护理;优质护理;异物清除效果;心理状况
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)12(b)-0120-03
Clinical Cooperation of Gastroscopic Removal of Foreign Bodies from Digestive Tract in Children
LI Ming-zhen
Endoscopic Center of Xiamen Children's Hospital， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To study the key points of clinical cooperation and effect of gastroscopic removal of foreign bodies from digestive tract in children. Methods Convenient election 124 children with pediatric digestive tract foreign bodies admitted to the hospital from August 2016 to December 2018 were enrolled in the study. According to the odd-even method， 62 cases were used， and the control group received routine care. The research team gave high-quality care， and compared the effects of foreign body clearance， psychological changes and complications. Results The foreign body clearance rate of the control group was 93.5% lower than that of the study group 100.00%. The difference between the groups was statistically significant(χ2=4.133， P=0.042 ). There was no statistically significant difference between the two groups before the preoperative SAS score(t=0.641， P=0.523); Compared with the postoperative SAS scores， the study group was lower than the control group， and the difference between the groups was statistically significant (t=13.464 ， 20.934 ， P<0.05); The incidence of complications in the control group was compared with the incidence of complications in the study group. The study group was lower than the control group， and the difference was statistically significant (χ2=5.522， P=0.019). Conclusion The implementation of high-quality care in children with digestive tract foreign body after endoscopic removal is beneficial to improve negative emotions and improve the success rate of surgery.
[Key words] Gastroscopic removal; Pediatric digestive tract foreign body; Routine nursing; Quality care ; Foreign body clearance effect; Psychological status, http://www.100md.com(李明珍)
[摘要] 目的 研究小兒消化道异物经胃镜下取出术的临床配合要点及效果。方法 方便选取该院2016年8月—2018年12月收治的124例实施经胃镜下取出术的小儿消化道异物患儿作为研究对象，依照奇偶数法进行分组，各62例，对照组予以常规护理，研究组予以优质护理，对两组异物清除效果及心理状况变化、并发症发生情况进行比较。 结果 对照组患儿的异物清除率93.5%比研究组100%低，组间差异有统计学意义(χ2=4.133 ，P=0.042 );两组术前SAS评分相比，差异无统计学意义(t=0.641 ，P=0.523);术中与术后的SAS评分经比较，研究组均比对照组低，组间显示出的差异有统计学意义(t=13.464、20.934，P<0.05);对照组并发症发生率与研究组的并发症发生率展开对比，研究组比对照组低，差异有统计学意义(χ2=5.522，P=0.019)。 结论 小儿消化道异物经胃镜下取出术中实施优质护理有利于改善患儿负性情绪，提高手术成功率。
[关键词] 胃镜下取出术;小儿消化道异物;常规护理;优质护理;异物清除效果;心理状况
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)12(b)-0120-03
Clinical Cooperation of Gastroscopic Removal of Foreign Bodies from Digestive Tract in Children
LI Ming-zhen
Endoscopic Center of Xiamen Children's Hospital， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To study the key points of clinical cooperation and effect of gastroscopic removal of foreign bodies from digestive tract in children. Methods Convenient election 124 children with pediatric digestive tract foreign bodies admitted to the hospital from August 2016 to December 2018 were enrolled in the study. According to the odd-even method， 62 cases were used， and the control group received routine care. The research team gave high-quality care， and compared the effects of foreign body clearance， psychological changes and complications. Results The foreign body clearance rate of the control group was 93.5% lower than that of the study group 100.00%. The difference between the groups was statistically significant(χ2=4.133， P=0.042 ). There was no statistically significant difference between the two groups before the preoperative SAS score(t=0.641， P=0.523); Compared with the postoperative SAS scores， the study group was lower than the control group， and the difference between the groups was statistically significant (t=13.464 ， 20.934 ， P<0.05); The incidence of complications in the control group was compared with the incidence of complications in the study group. The study group was lower than the control group， and the difference was statistically significant (χ2=5.522， P=0.019). Conclusion The implementation of high-quality care in children with digestive tract foreign body after endoscopic removal is beneficial to improve negative emotions and improve the success rate of surgery.
[Key words] Gastroscopic removal; Pediatric digestive tract foreign body; Routine nursing; Quality care ; Foreign body clearance effect; Psychological status, http://www.100md.com(李明珍)