Application of narrative medical humanistic care in perioperative period of children with occult penises
LI Shen JIN Zonglan HU Yuanquan ZHANG Xiansheng
Department of Urology, First Affiliated Hospital of Anhui Medical University Institute of Urology, Anhui Medical University Key Laboratory of Urogenital Diseases of Anhui Province, Anhui Province, Hefei 230022, China
Abstract Objective To explore the application effect of humanistic nursing of narrative medicine in the perioperative period of children with concealed penis. Methods A total of 120 childrens admitted to the Department of Urology of the First Affiliated Hospital of Anhui Medical University due to occlusive penis from July 2018 to August 2019 were selected as the research subjects by convenience sampling method. According to the admission time, they were divided into control group and observation group, with 60 cases in each group. Children in the control group were given urological routine nursing care, and children in the observation group were given narrative medicine humanistic nursing on the basis of routine nursing. The anxiety state, postoperative pain score, hospital compliance and nursing satisfaction of the two groups of children and their parents were compared. Results The anxiety and pain scores of the children and their parents in the observation group were lower than those of the control group, and the difference was statistically significant (P ＜ 0.05); the hospitalization compliance of the children in the observation group was higher than that of the control group, the difference was statistically significant (P ＜ 0.05); the nursing satisfaction of the family members of the observation group was higher than that of the control group, the difference was statistically significant (P ＜ 0.05). Conclusion The implementation of narrative medicine for children with concealed penis surgery has a significant effect on humanistic nursing, which is beneficial to promote the rehabilitation of children, improve the satisfaction of children and their parents, enrich the connotation and methods of humanistic nursing, and promote the development of high-quality nursing.
LI Shen JIN Zonglan HU Yuanquan ZHANG Xiansheng. Application of narrative medical humanistic care in perioperative period of children with occult penises[J]. 中国医药导报, 2021, 18(17): 165-168.
[1] Chan IH，Wong KK. Common urological problems in children：prepuce，phimosis，and buried penis [J]. Hong Kong Med J，2016，22（3）：263-269.
[2] 杨俊家，王爱和，杨华军，等.不同手术方法治疗小儿隐匿性阴茎的临床效果分析[J].中国妇幼保健，2020，35（6）：1073-1075.
[3] 黄鲁刚，曾莉.儿童隐匿阴茎的诊治现状及最新进展[J].临床小儿外科杂志，2018，17（12）：886-890.
[4] 周霞，李秋蓉，纳茜茜，等.舒适护理对隐匿阴茎手术患儿的影响[J].中华全科医学，2014（4）：146-147，150.
[5] Machado MC，Lobo AJ. Narrative Medicine：An Optative Course at the Faculty of Medicine of Lisbon [J]. Acta Med Port，2016：790-792.
[6] 金宗兰，陈萍萍，刘玲莉，等.叙事医学结合OSCE模式在泌尿外科护理本科生临床教学中的应用[J].重庆医学，2020，49（6）：1023-1025，1028.
[7] Kain ZN，Mayes LC，Cicchetti DV，et al. The Yale Preoperative Anxiety Scale： how does it compare to a“gold standard”[J]? Anesth Analg，1997，85（4）：783-788.
[8] Reidy John. Trait anxiety，trait depression，worry，and memory [J]. Behav Res Ther，2004，42（8）：937-948.
[9] 汪意涛.社区2015-2016年2型糖尿病患者的临床特征、血糖控制、生存质量及治疗依从性的随机对照研究[D].苏州：苏州大学，2018.
[10] 白恒舟，乔保平.隐匿性阴茎诊断和治疗进展[J].河南医学研究，2017，26（19）：3510-3512.
[11] Zhang H，Zhao G，Feng G，et al. A New Surgical Technique for the Treatment of Congenital Concealed Penis Based on Anatomical Finding [J]. J Urol，2020，204（6）：1341-1348.
[12] 姚献策，刘孝华.隐匿性阴茎患儿的病因和治疗进展[J].临床医学研究与实践，2020，5（30）：190-192.
[13] Cimador M，Catalano P，Ortolano R，et al. The inconspicuous penis in children [J]. Nat rev Urol，2015，12（4）：205-215.
[14] 沐爱萍.基于叙事医学的人性化护理对脑胶质瘤围术期患者的身心康复影响[J].中外女性健康研究，2019（23）：22-23，35.
[15] Charon R. Narrative medicine：form，function，and ethics [J]. Ann intern med，2001，134（1）：83.
[16] 付胜男.失效模式与效应分析在缓解学龄前患儿手术期间父母焦虑的应用研究[D].长春：吉林大学，2018.
[17] 庞胜.小儿隐匿性阴茎术后护理方法与护理效果探讨[J].贵州医药，2019，43（8）：1339-1340.
[18] 尹金萍，廖丽芳，何清丽.连续性护理干预模式对小儿术后疼痛及其母亲焦虑状态的影响分析[J].黑龙江中医药，2018，47（3）：96-97.
[19] 谢浩芬，姜建帅.围手术期疼痛护理的研究进展[J].中华现代护理杂志，2019（8）：925-928.
[20] 邢齐宁，胡雪芹，张刚，等.术前趣味游戏干预对Bianchi术治疗隐睾儿童生理指标和配合程度的影响[J].中华现代护理杂志，2018，24（2）：196-199.
[21] 冯瑞玲，宋瑞，翟波.多元化兴趣诱导对学龄前患儿术前焦虑及麻醉诱导配合度的影响[J].护理研究，2020， 34（16）：2984-2986.
[22] 李红，刘琼帆，赵曙光.人文关怀在儿科护理中的应用及效果评价[J].中国继续医学教育，2016，8（15）：237-239.
[23] 李缘婷，田莹，杨继娟，等.人文关怀护理理论在护理临床实践中的研究进展[J].黑龙江医学，2020，44（5）：716-718.
[24] 陈梅霞，金宗兰，陈萍萍，等.叙事医学下的人文护理模式对阴茎假体植入术患者康复的影响[J].安徽医学，2019， 40（7）：815-817.
[25] 周雁荣，张严丽，罗亮春，等.叙事护理干预对心脏瓣膜置换术患者心理状态的影响[J].护理学杂志，2020，35（21）：81-84.
