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    • PSH模式用于腺样体、扁桃体切除患儿的临床价值

    蔡幸华,刘明皓,段勇,丁晓丽,李萍,马灵草

    Journal of Qiannan Medical College for Nationalities（2021）

    Cited 0|Views13
    Abstract
    目的:明确围术期患者之家(PSH)模式用于腺样体、扁桃体切除患儿的临床价值.方法:将行腺样体、扁桃体切除术的97例患儿按照随机数字表法分为实验组(n=49,行PSH护理)和对照组(n=48,行常规护理),比较两组患儿麻醉配合程度及术后临床资料、焦虑及疼痛评分、并发症及不良反应之间的差异,评价两组患儿家长的焦虑、依从性及护理满意度.结果:实验组患儿术后1晚、麻醉诱导时及术后12 h YPAS及NRS评分显著低于对照组(P<0.05);实验组患儿家长S-AI评分低于对照组、而Morisky评分及护理满意度显著高于对照组(P<0.05);实验组患者ICC评分低于对照组,而下地时间及住院时间均显著短于对照组(P<0.05);实验组患儿术后并发症及不良反应发生率显著低于对照组(P<0.05).结论:PSH模式能有效降低患儿及家长在腺样体、扁桃体切除前的焦虑程度,从而达到提升干预配合程度的作用,利于促进术后患儿的恢复,提升护理满意度.
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    【要点】：研究围术期患者之家(PSH)模式在腺样体、扁桃体切除患儿中的应用效果，发现该模式能显著降低患儿及家长的焦虑程度，提高干预配合度，促进术后恢复和提升护理满意度。
    

    【方法】：通过将97例行腺样体、扁桃体切除术的患儿随机分为实验组（接受PSH护理）和对照组（接受常规护理），对比两组患儿的麻醉配合程度、术后临床资料、焦虑及疼痛评分、并发症及不良反应，以及家长焦虑、依从性及护理满意度。
    

    【实验】：实验组49例，对照组48例，使用的数据集包括YPAS、NRS、S-AI、Morisky评分等。结果显示，实验组在术后1晚、麻醉诱导时及术后12小时YPAS及NRS评分显著低于对照组，家长S-AI评分低于对照组，而Morisky评分及护理满意度显著高于对照组，并发症及不良反应发生率显著低于对照组。