SBAR干预模式联合空气灌肠治疗小儿肠套叠的研究-现代医学

SBAR干预模式联合空气灌肠治疗小儿肠套叠的研究

单位：1. 达州市中心医院普外科, 四川达州 635000;
2. 达州市中心医院骨科, 四川达州 635000

分类号：R726.5

出版年·卷·期（页码）：2020·39·第四期（455-459）

摘要：

目的：探讨SBAR干预模式联合空气灌肠治疗小儿肠套叠的临床疗效。方法：选取2017年1月至12月我院收治的120例肠套叠患儿为研究对象，随机分为研究组和对照组，各60例。对照组单纯给予空气灌肠复位治疗，研究组在对照组基础上联合SBAR干预模式，比较两组患儿复位成功率、并发症发生率，患者家属焦虑自评量表（SAS）、抑郁自评量表（SDS）评分情况和对护理工作的满意度。结果：研究组肠复位成功率为96.67%，明显高于对照组的86.67%（χ²=3.927，P=0.048）；干预后，研究组患儿家属SAS、SDS量表评分均较对照组明显下降，差异有统计学意义（t=3.698、4.297；P值分别为0.034，0.025）；研究组满意度为85.00%，明显高于对照组的68.33%（χ²=4.658，P=0.031）。结论：SBAR干预模式能提高空气灌肠治疗小儿肠套叠患儿复位成功率，改善患儿家属焦虑、抑郁情绪，提高患儿家属满意度。

Objective: To explore the clinical effect of SBAR intervention mode combined with air enema in the treatment of intussusception in children. Methods: 120 children with intussusception admitted to our hospital from January 2017 to December 2017 were selected as the survey subject. They were randomly divided into researchgroup and control group, 60 cases in each group. The control group was simply given air enema reduction treatment. The research group received SBAR intervention mode treatment based on thecontrol group. The success rate of reduction, the incidence of complications, the scores of parents' Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and there satisfaction with nursing work were compared.Results: The success rate of air enema reduction was 96.67%, which was significantly higher than that (86.67%)of control group (χ²=3.927, P=0.048). After intervention, the scores of SAS and SDS on the family members in the researchgroup were significantly lower than those in the control group, the difference was significantly(t=3.698, P=0.034; t=4.297, P=0.025). The satisfaction in the researchgroup was 85.00%, which was significant higher than that (68.33%) of control group (χ²=4.658, P=0.031).Conclusion: SBAR intervention model can promote the success rate of air enemain the reduction of children with intussusception, relieve the anxiety and depression of their families, and improve the satisfaction of their families.

参考文献：

[1] 吴东阳,陈亚军,彭春辉,等.51例儿童术后肠套叠临床分析[J].中华小儿外科杂志,2018,39(1):50-52.
[2] 潘祝彬,高群,黄河,等.B超监视下水压灌肠与X线下空气灌肠治疗小儿肠套叠的效果比较[J].中国医药导报,2018,15(8):116-119.
[3] 美合日阿依·麦麦吐孙.肠套叠的影像学诊断价值[J].医学综述,2014,20(10):1839-1841.
[4] 王佩珊,李佳,王莹,等.全程健康教育模式在婴幼儿肠套叠护理中的应用[J].黑龙江医药科学,2015,38(4):131-132.
[5] 张媛慧，陈喻萍. SBAR交流模式在外科患者转科交接中的应用[J]. 护理实践与研究, 2017, 14(22) : 120-121.
[6] 王晓洁,高红梅.SBAR沟通模式在患者转运交接中的研究现状[J].护理实践与研究,2018,15(14):18-21.
[7] 杨云霞. 医护一体化护理干预对流行性腮腺炎患儿预后的影响[J]. 现代医学, 2016, 44(2): 255-257.
[8] RANDMAA M,SWENNE C L,MARTENSSONG, et al. Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers[J]. Eur J Anaesthesiol, 2016, 33(3) : 172-178.
[9] 张晓华,徐中华.山莨菪碱在小儿肠套叠空气整复中的应用改良研究[J].实用放射学杂志,2018,34(4):579-581.
[10] 辛瑞芝,宿文斗.小儿肠套叠的超声诊断价值[J].中国现代普通外科进展,2014,17(5):382-383,388.
[11] 胡思佳.空气灌肠复位与水压灌肠复位治疗小儿肠套叠研究进展[J].临床小儿外科杂志,2018,17(1):66-72.
[12] 杨秀录,金伟敏,杨松玉,等.高频超声在小儿急性肠套叠诊疗中的应用价值[J].浙江医学,2017,39(22):2037-2039.
[13] 陈宏坤,李明伟.回盲部系带与小儿原发性肠套叠病因探讨[J].中国小儿急救医学,2013,20(5):529-530.
[14] 郭万亮,周珉,汪健, 等.儿童急性肠套叠空气灌肠治疗及X线分析[J].中华医学杂志,2010,90(47):3359-3361.
[15] 张亦鹏,方志宏,于忠勤,等.腹腔镜手术治疗小儿急性肠套叠32例分析[J].江苏医药,2015,41(12):1465-1466.
[16] 张宏,李勇芳,韩美蓉.小儿急性肠套叠空气灌肠整复失败54例原因分析[J].中国药物与临床,2019,19(8):1268-1269.
[17] 杨青,李淑娟.空气灌肠诊治小儿肠套叠的临床应用[J].医学影像学杂志,2014,24(9):1656-1657.
[18] 朱燕芳.小儿小肠套叠96例早期内科保守治疗的护理[J].护理与康复,2016,15(6):560-561.
[19] 杨惠琴.小儿肠套叠围手术期护理方法及效果观察[J].中国肛肠病杂志,2018,38(4):65-67.
[20] 廖锡群,吴小肖,范燕玲.小儿肠套叠空气灌肠复位临床分析及护理[J].中国现代药物应用,2017,11(24):57-58.
[21] 陆群峰,杜桦,张建萍,等.SBAR沟通模式在儿科急诊患儿转运交接中的应用[J].中华现代护理杂志,2018,24(14):1715-1718.
[22] 王晓洁,高红梅.SBAR标准沟通模式在我国护理工作中应用效果的Meta分析[J].护理研究,2018,32(13):2040-2047.
[23] 卫莉,杨福娜,刘东英,等.基于SBAR沟通模式的医护一体化建设与应用效果[J].中华现代护理杂志,2018,24(15):1788-1792.

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