Effect of PDCA nursing mode and token reward on treatment compliance and negative emotion in children with hypospadias
10.3760/cma.j.issn.1672-7088.2019.15.009
- VernacularTitle: PDCA循环联合代币奖励对尿道下裂患儿治疗依从性和负性情绪的影响
- Author:
Ruijuan WU
1
;
Xiaodan ZHANG
;
Yanfang YANG
;
Ying LI
;
Lucai JIA
;
Yanying QU
;
Biyu DING
;
Xueju GAO
Author Information
1. Department of Urinary Surgery, Children′s Hospital Affiliated to Zhengzhou University, Henan Children′s Hospital, Zhengzhou Children′s Hospital, Zhengzhou 450018, China
- Publication Type:Clinical Trail
- Keywords:
Hypospadias;
Plan-Do-Check-Action;
Token rewards;
Compliance;
Negative emotions
- From:
Chinese Journal of Practical Nursing
2019;35(15):1159-1163
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of PDCA nursing model combined with token reward on the compliance and negative emotions of children with hypospadias.
Methods:A total of 120 children with hypospadias who were admitted to Children′s hospital affiliated to Zhengzhou University from February 2017 to December 2017 were selected as study subjects. According to the time of admission, they were divided into observation group and control group, with 60 cases in each group. The control group was given routine nursing care, the observation group was given PDCA nursing mode combined with token rewards intervention on the basis of routine care. The self-made children's behavioral compliance assessment table was used to compare the compliance of the two groups of children. Achenbach Child Behavior Check List (CBCL) scores were performed before and after the intervention. The hospitalization time and the incidence of complications were calculated.
Results:There was no significant difference in CBCL scores between the two groups at admission (t=0.965, P=0.102). The scores of compliance and CBCL scores of the observation group were (43.12±3.99) points and (17.62±7.30) points respectively, the scores of control group were (30.67±4.53), (24.23±6.67), the difference was statistically significant (t=15.977, 5.184, P<0.01). The hospitalization time and complication rate of the observation group were (18.73±0.84)d, 15.00% (9/60), which were significantly lower than (20.92±1.90) d, 31.67% (19/60) of the control group, and the difference was statistically significant (t=8.166, χ2=4.658, P<0.01 or 0.05).
Conclusions:The PDCA nursing model combined with token reward can improve the compliance of children with hypospadias and improve their negative emotions.
