小儿先天性尿道下裂尿道成形术后行综合护理的临床效果

目的:探究小儿先天性尿道下裂尿道成形术后最佳护理方式。方法:选取2019年7月至2021年3月驻马店市中心医院收治的先天性尿道下裂行手术治疗的患儿85例作为研究对象，进行前瞻性研究，按照信封法分为对照组（42例）和观察组（43例），其中对照组患儿年龄（6.34±1.34）岁，观察组患儿年龄（6.76±1.41）岁。给予...

Clinical effect of comprehensive nursing in children with congenital hypospadias after urethroplasty

Objective　To explore the best nursing method for children with congenital hypospadias after urethroplasty. Methods　A total of 85 children with congenital hypospadias who received surgical treatment in Zhumadian Central Hospital from July 2019 to March 2021 were selected as the research objects for the prospective study, and they were divided into a control group (42 cases) and an observation group (43 cases) with the envelope method. The children in the control group were (6.34±1.34) years old, and the children in the observation group were (6.76±1.41) years old. The control group was given routine nursing intervention, and the observation group was given comprehensive nursing intervention. The time of first defecation, incidence of urinary fistula, change of pain degree, and nursing satisfaction were compared between the two groups. The measurement data were tested by independent sample t test, and the count data were tested by χ² test. Results　The first defecation time of the observation group after surgery was (31.42±8.89) h, which was significantly shorter than that of the control group (36.85±9.14) h] (t=2.777, P=0.007). The incidence of postoperative urinary fistula in the observation group was 4.65% (2/43), which was significantly lower than that in the control group 21.43% (9/42)] (χ²=5.308, P=0.021). The pain scores of the observation group 1 d, 3 d, and 7 d after surgery were (5.41±1.09), (4.13±1.05), and (3.14±0.54) points, which were lower than those in the control group (6.13±1.23), (4.85±1.17), and (3.60±0.75) points] (all P<0.05). The nursing satisfaction degree of the observation group was higher than that of the control group 97.67% (42/43) vs. 78.57% (33/42)] (χ²=7.470, P=0.006). Conclusion　Comprehensive nursing intervention in children with congenital hypospadias after urethroplasty can speed up the recovery process and increase the safety, is recognized by children and their families, and has a high application value.