Effect of extended nursing on the quality of life of children after cleft palate
延伸护理对腭裂术后患儿生活质量的影响

摘要

目的 探究延伸护理对腭裂术后患儿生活质量的影响。方法 选取50例唇腭裂患儿作为本次对照实验的研究对象，需接受腭裂术治疗，为我院于2019年4月至2020年3月收治，符合接受腭裂术治疗的条件。采取随机数字法将患者分配为对照组和观察组，每组25例患者，分别使用不同的护理方法，其中对照组使用常规护理，观察组则在常规护理方法的基础上增加延伸护理，对比两组患儿的生活质量评分及并发症发生率。结果 使用延伸护理的观察组，生理功能评分（50.56±17.63）分，生理职能（59.36±19.36）分，躯体疼痛（64.98±21.54）分，总体健康（58.03±19.47）分，活力（58.55±17.58）分，社会功能（62.39±22.07）分，情感职能（61.79±18.24）分，精神健康（61.38±18.33）分，较之应用常规护理的对照组，生活质量评分明显优于对照组，（P＜0.05）。其次，观察组患儿未出现并发症情况，对照组出现2例术后感染、1例复裂，并发症发生率12%，其并发症发生率明显高于观察组，统计学意义明显，（P＜0.05）。结论 将延伸护理应用于腭裂术后患儿的护理工作中，能够有效提高护理针对性，对提升预后生活质量有积极意义。

Abstract

Objective: To explore the effect of extended nursing on the quality of life of children after cleft palate surgery.
Methods: Fifty children with cleft lip and palate were selected as the subjects of this controlled experiment. They need to undergo cleft palate treatment. They were admitted to our hospital from April 2019 to March 2020, and they were eligible for cleft palate treatment. Random number method was used to assign patients to the control group and the observation group. 25 patients in each group were treated with different nursing methods. The control group used routine care, and the observation group added extended care based on the conventional care method. Children's quality of life score and incidence of complications.
Results: Using the observation group of extended nursing, the scores of physiological function (50.56±17.63), physiological functions (59.36±19.36), physical pain (64.98±21.54), overall health (58.03±19.47), and vitality (58.55± 17.58) points, social function (62.39±22.07) points, emotional function (61.79±18.24) points, mental health (61.38±18.33) points, compared with the control group using routine care, the quality of life score is significantly better than the control group, ( P<0.05). Secondly, there was no complication in children in the observation group, 2 cases of postoperative infections and 1 relapse in the control group, and the incidence of complications was 12%. The incidence of complications was significantly higher than that of the observation group, with statistically significant, ( P<0.05).
Conclusion  : Applying extended nursing to the nursing work of children after cleft palate can effectively improve the pertinence of nursing and has a positive significance for improving the prognosis of life quality.