小儿先天性心脏病介入治疗术后护理效果

目的分析小儿先天性心脏病介入治疗术后护理方法和护理效果。方法收集我院2012年7月至2013年7月期间实施介入治疗的小儿先天性心脏病患儿158例作为研究对象,随机分为试验组与对照组,每组79例。对照组患儿采用常规护理模式,试验组患儿在对照组的基础上实施术前心理护理、感染预防、术前准备、术中生命体征监测、术后饮食干预、病情观察、并发症预防等综合护理干预模式,对两组患儿的并发症发生情况进行对比分析。结果试验组中有13例患儿发生并发症,包括5例术后呕吐,4例皮下血肿,4例感染,并发症发生率为16.46%;对照组中有30例患儿发生并发症,包括16例术后呕吐,7例皮下血肿,7例感染,并发症发生率为37.97%,试验组并发症发生率明显低于对照组(P<0.05)。结论对应用介入治疗的小儿先天性心脏病患儿实施术前心理护理、感染预防、术前准备、术中生命体征监测、术后饮食干预、病情观察、并发症预防等综合护理干预具有良好的临床疗效,能有效降低并发症发生率,值得临床应用推广。

Effects of Postoperative Nursing in Pediatric Congenital Heart Disease Treated with Interventional Therapy

Objective To analyze the nursing methods and nursing effects after interventional therapy in children with congenital heart disease. Methods 158 children with congenital heart disease treated with intervention therapy in our hospital from July 2012 to July 2013 were randomly divided into two groups, with 79 cases in each group. Children in the control group were given routine nursing mode, while children in the experimental group were given comprehensive nursing intervention including preoperative psychological care, infection prevention, preoperative preparation, intraoperative monitoring of vital signs, postoperative dietary intervention, condition observation, prevention of complications on the basis of routine nursing. The complications of two groups were observed and compared. Results The incidence of complications of experimental group was 16.46% （13/79）, with 5 cases of postoperative vomiting, 4 cases of subcutaneous hematoma, and 4 cases of infection. The incidence of complications of control group was 37.97% （30/79）, with 16 cases of postoperative vomiting, 7 cases of subcutaneous hematoma, and 7 cases of infection. The incidence of complications of experimental group was significantly lower than that of control group （P 〈0.05）. Conclusions For children with congenital heart disease, comprehensive nursing intervention after intervention therapy has significant clinical effect. It can effectively reduce the incidence of complications.