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Effect of modified nursing intervention on intestinal preparation before long-segment type congenital megacolon surgery in children / 中国实用护理杂志
Chinese Journal of Practical Nursing ; (36): 2623-2627, 2020.
Article in Chinese | WPRIM | ID: wpr-864842
ABSTRACT

Objective:

to explore the effect of improved nursing intervention on bowel preparation before operation in children with common congenital megacolon.

Methods:

A total of 72 children with long-segment type congenital megacolon underwent surgery in our hospital from June 2016 to June 2019 were enrolled, and divided into two groups by random number table methods, each with 36 cases. Control group received the routine nursing, while the observation group received the routine nursing combined with modified nursing intervention. The enema effect, enema efficiency, enema pain level, complications, and nursing satisfaction were compared between the two groups.

Results:

The excellent rate of enema in the observation group was higher than that in the control group [94.44% (34/36) vs. 75.00% (27/36), χ2 value was 5.181, P<0.05]. The enema time and the amount of enema fluid in the observation group were significantly lower than those in the control group [(25.39±5.24)min vs. (21.31±3.94)min; (3 628.11±315.24)ml vs (2 842.33±266.18)ml; t value was 3.743, 11.428, P<0.05]. The VAS score of the observation group was significantly lower than that of the control group [(3.39±1.02) vs. (2.18±0.74), t value was 5.761, P<0.05]; the incidence of complications in the observation group was lower than that of the control group [2.87%(1/36) vs. 16.67%(6/36), χ2 value was 2.532, P>0.05]; the satisfaction degree of family members of the observation group was higher than that of the control group [97.22% (28/36) vs 77.78% (35/36); χ2 value was 4.581, P<0.05].

Conclusions:

Application of modified nursing intervention can effectively improve the effect and efficiency of enema, reduce the pain and complications for children with long-segment type congenital megacolon, which also obtains high satisfaction degree among family members.
Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Practical Nursing Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Practical Nursing Year: 2020 Type: Article