| Objective:This study explores the impact of family-centered care(FCC)transitional wards and continuous care management programs on the outcome of neonatal enterostomy in unaccompanied wards and their main caregivers.The nursing work of children with enterostomy in the ward provides theoretical basis.Methods:1.Based on the literature analysis method,integrate the domestic and foreign transitional wards and continuous nursing intervention programs,analyze from the nursing management level,combine the ward environment and the wishes of the children’s family members to develop a preliminary plan based on the FCC transitional ward and continuous nursing management.Then use the expert group discussion method to determine the final plan.2.A cluster sampling method was adopted to select 110 cases of neonatal enterostomy and their main caregivers who were admitted to the neonatal surgery of a tertiary children’s hospital from April 1st to September 30 th,2020.Then 55 children admitted from April 1 to June 30 and their main caregivers were used as the control group,and 55 children admitted from July 1 to September 30 and their main caregivers were used as the intervention group.During the experiment,2 cases in each of the two groups withdrew from the study.The intervention group implemented a transitional ward and continuous care management program based on the FCC,that is,the members of the continuous care team use the family-style transitional ward to support the main caregivers to participate in the care of the children,conduct skill training,and use the We Chat platform to conduct stoma theoretical knowledge education,and discharge from the hospital.Follow up on We Chat afterwards.The control group received routine hospital care and followed up by telephone after discharge.The differences in the nursing ability,anxiety and satisfaction with nursing work of the main caregivers of the two groups of children were compared,and the differences in the incidence of stoma complications and readmission rates between the two groups of children were compared.Results:1.There was no statistical difference in basic data such as gender,gestational age,stoma etiology,stoma method,stoma site,and source of medical expenses between the two groups(P>0.05).2.There was no statistical difference in the age,gender,education level,work status,relationship with the child and other information of the main caregivers of the two groups of children(P>0.05).3.The care ability score of the main caregiver of the intervention group the day before entering the transition ward(107.58±10.14 points)and the care ability score of the main caregiver the day before discharge(134.21±9.32 points)were compared within the group,the difference was statistically significant(P <0.05).At the three-month follow-up visit,the child’s primary caregiver’s care ability score(158.28±6.26 points)was higher than that of the control group(139.53±10.17 points),the difference was statistically significant(P<0.001);both were more significant than the day before discharge Increase,and the difference is statistically significant(P<0.001).4.The scores of the anxiety self-rating scale at the return visit after three months of the two groups were lower than those at discharge,and the difference was statistically significant(P<0.001);the intervention group was discharged from the hospital and at the three-month return visit the anxiety self-rating scale The scores were lower than those of the control group,and the difference was statistically significant(P<0.01).4.The incidence of stoma-related complications in children in the intervention group(15.09%)was significantly lower than the incidence of stoma-related complications in children in the control group(37.74%),and the difference was statistically significant(P<0.05).5.The re-admission rate of children in the intervention group(7.55%)was significantly lower than that of the control group(24.53%),and the difference was statistically significant(P<0.05).6.The satisfaction scores of the main caregivers of the two groups of children at the three-month follow-up visit were significantly higher than those at the time of discharge,and the difference was statistically significant(P<0.001);The scores of nursing satisfaction were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:In the unaccompanied ward,the implementation of FCC transitional ward and continuation care management plan for enterostomy neonates can reduce the incidence of children’s stoma complications and the rate of re-admission due to enterostomy complications,and improve enterostomy newborns The children main caregiver’s home care ability can reduce the anxiety of the main caregiver.At the same time,it will enhance the communication between medical staff and their families,promote the harmony between doctors and patients,and increase the satisfaction of the main caregivers of the children with nursing care. |
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