Clinical Nursing·Pediatric Nursing
Intervention of family-integrated care model for children with enterostomy and their caregivers
Yang Hui, Xu Xiaoli, Hu Sha, Yan Xiaojuan, He Xiuyun
Published 2019-08-21
Cite as Chin J Prac Nurs, 2019,35(24): 1893-1897. DOI: 10.3760/cma.j.issn.1672-7088.2019.24.011
Abstract
ObjectiveTo investigate the effects of family-integrated care (FIC) on postoperative outcomes in children with enterostomy and their caregivers.
MethodsFrom August 2017 to August 2018, 50 children with enterostomy and 50 family members of the Children′s Hospital of Hunan Province were selected as subjects. According to the random number table, the children and their families were divided into control group and the observation group, each group was 25 cases. The control group was given a routine nursing mode to intervene, and the observation group was given an FIC mode for intervention. Postoperative outcomes were evaluated using the incidence of ostomy complications and readmission rates. The pre-intervention and outpatient follow-up were used to assess the psychological status of the family members using the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS), and to assess the postoperative care of the family's intestines using the postoperative evaluation of the postoperative intestines. The level of knowledge mastery. The self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to assess the psychological state of the family members, and the postoperative care knowledge evaluation form for the postpartum was used to evaluate the postoperative care of the family.
ResultsThe incidence of ostomy complications in the observation group was 8.70% (2/23), which was lower than that in the control group (34.78% (8/23) (P<0.05). The readmission rate of the observation group was 0(0/23), which was lower than the control group 17.39% (4/23) (P<0.05). After intervention, the SAS scores and SDS scores of the families of the two groups were lower than those before the intervention, and the SAS scores and SDS scores of the observation group were lower than the control group(P<0.05). Before discharge and 3months of follow-up, the scores of postoperative care knowledge evaluation scores of the observation group were higher than those of the control group(P<0.05).
ConclusionsFIC mode can effectively reduce the incidence of complications and readmission rate in children with enterostomy. It has positive significance for improving the negative emotions of children′s family members and improving the mastery of postoperative care.
Key words:
Family-integrated care; Enterostomy; Pediatric; Postoperative outcome; Negative emotion
Contributor Information
Yang Hui
Department of Fetal and Neonatal Surgery, Hunan Children′s Hospital, Changsha Hunan 410007, China
Xu Xiaoli
Hu Sha
Yan Xiaojuan
He Xiuyun
