Application effect of nursing intervention model based on Omaha system in children with hypospadias

doi:10.3760/cma.j.issn.1007-1245.2023.19.012

Abstract

Abstract:

Objective　To explore the role of Omaha system-based nursing in children with hypospadias. Methods　The clinical data of 92 children with hypospadias admitted to Children's Hospital Affiliated to Zhengzhou University from May 2019 to May 2022 were retrospectively analyzed. According to the different nursing methods, they were divided into a control group (46 cases) and an observation group (46 cases). The control group was (8.91±1.19) years old and received routine nursing. The observation group was (8.95±1.23) years old and received Omaha system-based nursing. The nursing intervention lasted until the children were discharged from hospital. The postoperative rehabilitation condition, pain degree, occurrence rate of complications, and nursing satisfaction degree were compared between the two groups. χ² test and t test were used. Results　The first defecation time [(30.49±3.27) h], urinary catheter removal time [(8.64±2.06) d], and length of hospital stay [(11.35±2.19) d] in the observation group were shorter than those in the control group [(43.68±5.21) h, (10.52±2.13) d, and (14.85±2.32) d], with statistically significant differences (t=14.543, 4.303, and 7.441; all P<0.001). The Visual Analogue Scale (VAS) score of the observation group [(1.59±0.21) points] was lower than that of the control group [(2.79±0.24) points] after intervention, with a statistically significant difference (t=25.521, P<0.05). The incidence of complications in the observation group [4.35% (2/46)] was lower than that in the control group [17.39% (8/46)], with a statistically significant difference (χ²=4.039, P<0.05). The nursing satisfaction of the observation group [95.65% (44/46)] was higher than that of the control group [82.61% (38/46)], with a statistically significant difference (χ²=4.039, P<0.05). Conclusion　The nursing intervention model based on Omaha system for children with hypospadias can promote their postoperative rehabilitation, decrease the postoperative pain degree, reduce the occurrence risk of complications, and thus improve the nursing satisfaction degree.

Key words:

Hypospadias, Omaha system, Postoperative rehabilitation, Pain, Complications, Nursing satisfaction degree

摘要：

目的　探讨在尿道下裂患儿中采取基于奥马哈系统护理的作用。方法　回顾性分析2019年5月至2022年5月郑州大学附属儿童医院收治的92例尿道下裂患儿的临床资料，依照护理方式不同将其分为两组，各46例。对照组年龄（8.91±1.19）岁，采取常规护理；观察组年龄（8.95±1.23）岁，采取基于奥马哈系统护理，干预至患儿出院。对比两组术后康复情况、疼痛程度、并发症发生率和护理满意度。采用χ²检验、t检验。结果　观察组首次排便时间［（30.49±3.27）h］、尿管拔除时间［（8.64±2.06）d］、住院时间［（11.35±2.19）d］均短于对照组［（43.68±5.21）h、（10.52±2.13）d、（14.85±2.32）d］，差异均有统计学意义（t=14.543、4.303、7.441，均P<0.001）。观察组干预后视觉模拟评分法（VAS）评分［（1.59±0.21）分］低于对照组［（2.79±0.24）分］，差异有统计学意义（t=25.521，P<0.05）。观察组并发症发生率［4.35%（2/46）］低于对照组［17.39%（8/46）］，差异有统计学意义（χ²=4.039，P<0.05）。观察组护理满意度［95.65%（44/46）］高于对照组［82.61%（38/46）］，差异有统计学意义（χ²=4.039，P<0.05）。结论　尿道下裂患儿经基于奥马哈系统护理模式干预后，能够促进患儿术后康复，降低术后疼痛程度，降低并发症发生风险，从而提升护理满意度。

关键词:

尿道下裂, 奥马哈系统, 术后康复, 疼痛, 并发症, 护理满意度

Shao Jingna, Qu Yanying, Li Ying.

Application effect of nursing intervention model based on Omaha system in children with hypospadias [J]. International Medicine and Health Guidance News, 2023, 29(19): 2716-2719.

邵静娜屈艳英李莹.

基于奥马哈系统护理模式在尿道下裂患儿中的应用效果 [J]. 国际医药卫生导报, 2023, 29(19): 2716-2719.

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