Application of the integrated physician-nurse management model in postoperative care of preschool children undergoing laparoscopic appendectomy
10.3760/cma.j.cn115682-20241230-07149
- VernacularTitle:医护一体化管理模式在学龄前期儿童腹腔镜阑尾切除术后护理中的应用
- Author:
Zhenshu WANG
1
;
Nan GAO
;
Jihong ZHU
;
Chunxia ZHANG
;
Hui CAO
;
Xue WEI
Author Information
1. 徐州医科大学附属徐州儿童医院第一手术室，徐州 221000
- Publication Type:Journal Article
- Keywords:
Pain;
Preschool children;
Laparoscopic appendectomy;
Acute appendicitis;
Integrated physician-nurse management
- From:
Chinese Journal of Modern Nursing
2025;31(24):3340-3344
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of the integrated physician-nurse management model on postoperative care in preschool children undergoing laparoscopic appendectomy (LA) .Methods:A total of 64 preschool children who underwent LA were selected by convenience sampling from the pediatric surgery department of Xuzhou Children's Hospital Affiliated to Xuzhou Medical University between November 2023 and June 2024. They were randomly assigned to either the intervention group or the control group (32 cases in each). The control group received routine postoperative care, while the intervention group received additional care based on the integrated physician-nurse management model. Postoperative pain scores at 4, 8, 12, 24, and 36 hours after surgery, as well as parental satisfaction, were compared between the two groups.Results:A total of 60 children completed the study, with 30 in each group. Post-intervention, the intervention group had lower pain scores at all five postoperative time points (4, 8, 12, 24, and 36 hours) compared to the control group, and the differences were statistically significant ( P<0.05). Additionally, the parental satisfaction rate in the intervention group was higher than that in the control group with statistically significant difference (χ 2=6.667, P<0.05) . Conclusions:The integrated physician-nurse management model effectively reduces postoperative pain in preschool children undergoing LA and improves parental satisfaction, supporting its clinical promotion and application.
