针对性心理护理在儿童面部创伤整形手术围手术期的应用:回顾性研究。

IF 2.1 4区 医学 Q2 NURSING
Meiyu Xie, Biyu Wu, Qiuyan Xu, Qizhi Lai, Xueping Cai
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引用次数: 0

摘要

背景:美容清创和缝合技术是修复面部损伤的常用方法。然而,面部受伤的儿童往往由于恐惧和哭泣而难以完全配合外科医生,这可能导致较差的美容效果。方法:对2020年6月至2022年6月106例患儿进行回顾性研究,分为两组:对照组接受术后常规护理,干预组接受针对性心理护理。结果:干预组接受有针对性的心理护理,包括术前教育、术中支持、术后干预、心理疏导、皮肤护理等。在一个月的随访期间,记录和分析儿童的焦虑、压力和疼痛水平,以及伤口愈合、并发症和监护人满意度。与对照组相比,干预组伤口恢复更好,并发症更少,焦虑、疼痛和压力水平显著降低。此外,干预组患儿的监护人对手术结果的满意度较高。结论:围手术期有针对性的心理护理对颜面创伤儿童美容手术具有积极作用,可促进伤口更快恢复,减少并发症,增强情绪幸福感。实践意义:本研究为临床实施有针对性的心理干预并结合规范的术前术后护理提供了强有力的理论支持。这种做法可以改善接受整形手术的儿科患者的身体和情绪恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The application of targeted psychological care during perioperative period on children with facial trauma undergoing plastic surgery: A retrospective study

Background

Cosmetic debridement and suture techniques are commonly used to repair facial injuries. However, children with facial injuries often struggle to fully cooperate with surgeons due to fear and crying, which can result in a poorer cosmetic outcome.

Methods

This retrospective study involved 106 children between June 2020 and June 2022, divided into two groups: the control group received routine postoperative care, while the intervention group received targeted psychological care.

Results

The intervention group received targeted psychological care, including preoperative education, intraoperative support, postoperative intervention, psychological counseling, and skin care. During the one-month follow-up period, the children's anxiety, stress, and pain levels, along with wound healing, complications, and guardian satisfaction, were recorded and analyzed. The intervention group showed better wound recovery, fewer complications, and significant reductions in anxiety, pain, and stress levels compared to the control group. Additionally, the guardians of the children in the intervention group expressed higher satisfaction with the surgical outcome.

Conclusions

Targeted psychological care during the perioperative period has a positive impact on children undergoing cosmetic surgery for facial trauma, facilitating faster wound recovery, reducing complications, and enhancing emotional well-being.

Implications to practice

This study provides strong theoretical support for the clinical implementation of targeted psychological interventions in combination with standard preoperative and postoperative care. Such practices can improve both physical and emotional recovery in pediatric patients undergoing plastic surgery.
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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
291
审稿时长
65 days
期刊介绍: Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
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