Application of auricular acupoint pressure beans combined with special body position nursing in pediatric postoperative intestinal surgery
耳穴压豆联合特殊体位护理在小儿肠道手术后的应用

摘要

目的 探讨耳穴压豆联合特殊体位护理在小儿肠道术后康复中的应用效果，评估其对胃肠功能恢复、不良反应发生率及家属护理满意度的影响。方法 选取2022年10月-2023年10月在我院接受肠道手术患儿120例，按照随机数字表法分为对照组与观察组各60例。对照组采用常规术后护理，观察组在此基础上实施耳穴压豆联合特殊体位护理。比较两组在术后肠鸣音恢复时间、排气时间、不良反应发生率及护理满意度方面的差异。结果 观察组患儿术后肠鸣音恢复时间（12.6±3.1 h）、首次排气时间（18.9±3.4 h）明显短于对照组（16.8±3.6 h、24.1±4.2 h），差异具有统计学意义（P<0.05）；观察组术后腹胀、恶心等不良反应发生率明显低于对照组（P<0.05）；家属护理满意度方面观察组明显高于对照组（P<0.01）。结论 耳穴压豆联合特殊体位护理在小儿肠道术后具有良好的临床效果，能加快胃肠功能恢复、减少术后不良反应，值得在临床中推广应用。

Abstract

Objective To investigate the efficacy of auricular acupoint pressure bead therapy combined with special body position nursing in the rehabilitation of pediatric intestinal surgery and evaluate its impact on gastrointestinal function recovery, the incidence of adverse reactions, and family satisfaction with nursing care.
Methods A total of 120 pediatric patients who underwent intestinal surgery at our hospital between October 2022 and October 2023 were randomly divided into a control group and an observation group of 60 cases each. The control group received routine postoperative care, while the observation group received auricular acupoint pressure bead therapy combined with special body position nursing in addition to routine postoperative care. Differences between the two groups were compared in terms of postoperative bowel sound recovery time, flatus time, adverse reaction rate, and nursing satisfaction.
Results Postoperative bowel sound recovery time (12.6±3.1 h) and first flatus time (18.9±3.4 h) in the observation group were significantly shorter than those in the control group (16.8±3.6 h, 24.1±4.2 h), with statistically significant differences (P<0.05). The incidence of adverse reactions such as abdominal distension and nausea in the observation group was significantly lower than that in the control group (P<0.05). Family satisfaction with nursing care was significantly higher in the observation group than in the control group (P<0.01).
Conclusion   Auricular acupoint pressure bead therapy combined with special body position nursing has a good clinical effect after pediatric intestinal surgery, can accelerate gastrointestinal function recovery, and reduce postoperative adverse reactions. It is worthy of promotion and application in clinical practice.