集束化干预在低龄低体重先天性心脏病患儿微创手术应用.docVIP

集束化干预在低龄低体重先天性心脏病患儿微创手术应用 　　摘 要：目的 探讨集束化干预在低龄低体重先天性心脏病患儿微创手术围术期的应用。方法 对2014年1月～2015年12月收治65例拟行微创手术的先天性心脏病患儿，按入院时间分为对照组和实验组，各37例。对照组采取先天性心脏病常规护理措施；集束化护理组采取集束化综合护理方案，对比两组术后并发症及护理满意度。结果 试验组患儿术后肺部感染率低于对照组，护理工作的满意度则高于对照组，差异有统计学意义（P0.05）。结论 婴幼儿先天性心脏病围术期患儿实施科学、完善的集束化护理，能提高护理质量、降低术后并发症，促进患儿康复。 　　关键词：先天性心脏病；微创手术；集束化管理 　　中图分类号：R473.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.03.062 　　文章编号：1006-1959（2018）03-0167-03 　　Abstract：Objective To explore the application of cluster intervention in the perioperative period of minimally invasive operation in children with low-age and low-weight congenital heart disease.Methods From January 2014 to December 2015，65 children with congenital heart disease undergoing minimally invasive surgery were enrolled.A total of 28 children from January 2014 to December 2014 were enrolled as control group，and January 2015 to December 2015，37 cases as the experimental group，the control group to take routine nursing measures of congenital heart disease；the cluster of nursing group to take a cluster of comprehensive care programs，comparisons of postoperative complications and nursing satisfaction between the two groups.Results The postoperative pulmonary infection rate in the experimental group was lower than that in the control group，while the satisfaction in nursing was higher than that in the control group，the difference was statistically significant（P0.05）.Conclusion The implementation of scientific and perfect cluster nursing in infants with perioperative congenital heart disease can improve nursing quality，reduce postoperative complications and promote the recovery of children. 　　Key words：Congenital heart disease；Minimally invasive surgery；Cluster management 　　先天性心脏病（congenital heart disease）是常见的临床疾病，属于先天性畸形[1]，临床上以心功能不全、紫绀以及发育不良等为主要表现。随着外科技术、体外循环和监护水平的提高，先天性心脏病的手术治疗逐步向低龄、低体重的方向发展。术后施行有效的监测和护理是减少术后并发症、确保患儿护理安全、促进术后尽早恢复以及提高先心病手术成功率的关键。集束化干预又称集束化治疗或捆绑式治疗，是将一系列具有循证基础的治疗和护理措施集合在一起，来处理某种疾病的方法[2]。我科2014年1月～2015年12月份共收治例低体重先天性心脏病患儿65例，均采用微创手术方式，术