先天性肛门直肠畸形患儿早期系统化肠道管理方案的建立及应用研究

发布时间：2018-04-06 04:04

本文选题：先天性肛门直肠畸形　切入点：肠道管理　出处：《重庆医科大学》2016年硕士论文

【摘要】：目的研究早期系统化肠道管理对先天性肛门直肠畸形术后患儿排便功能的影响。方法研究学习国外成熟开展的肠道管理方案,拟定适合我地区实际情况的方案,进行专家函询确定其可行性。选择重庆医科大学附属儿童医院诊断为先天性肛门直肠畸形并行手术治疗的患儿67例,分为对照组与干预组。1对照组实施常规护理健康教育。2干预组实施早期肠道管理,通过健康教育、电话随访、门诊随访等方式实施扩肛指导、饮食管理、服药管理、排便功能训练、心理护理等。3调查患儿肠道管理情况及患儿在术后3-6个月时的排便功能结果。结果1早期系统化的肠道管理护理干预对患儿排便功能结果的改善有显著意义[U=276.0,P=0.038]。2早期系统化的肠道管理对加强患儿家长严格饮食管理、掌握排便功能训练方法有积极意义。结论早期系统化肠道管理对先天性肛门直肠畸形术后患儿家长实施饮食管理、排便功能训练、排便功能改善有必要性、可行性及积极意义,值得临床推广。
[Abstract]:Objective to study the effect of early systematic intestinal management on defecation in children with congenital anorectal malformation.Methods to study the mature intestinal management scheme developed abroad, to draw up a plan suitable for the actual situation in our region, and to carry out expert inquiry to confirm its feasibility.Sixty-seven children with congenital anorectal malformation diagnosed by Children's Hospital affiliated to Chongqing Medical University were divided into two groups: control group and intervention group .1 the intervention group was given routine nursing and health education and the intervention group was given early intestinal management.By means of health education, telephone follow-up, outpatient follow-up, anus dilatation guidance, diet management, medication management, defecation function training, psychological nursing and so on, the intestinal management and defecation function of the children were investigated 3-6 months after operation.Results (1) early systematic nursing intervention had significant effect on the improvement of defecation function of children. 2 early systematic intestinal management had positive significance for strengthening strict diet management and mastering defecation function training method.Conclusion it is necessary, feasible and positive for parents of children with congenital anorectal malformation to carry out diet management, defecation function training and defecation function improvement by early systematic intestinal management, which is worth popularizing in clinic.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R726.5

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