目的 探讨护理干预对儿童功能性便秘生物反馈效果的影响.方法 选取在郑州大学第一附属医院小儿外科被确诊患有功能性便秘的儿童107例作为研究对象,根据随机数字表法分组,试验组54例,对照组53例.试验组患儿采用生物反馈训练联合个性化护理干预治疗儿童功能性便秘;对照组采用生物反馈联合传统护理干预治疗儿童功能性便秘.采用世界卫生组织五项身心健康(WHO-5)量表评分比较2组治疗效果,并随访3~6个月.结果 2组患儿WHO-5量表各项指标和临床症状各项积分在干预前比较,均差异无统计学意义(P>0.05).干预后,试验组WHO-5总分为(21.69 ± 2.28)分、临床症状积分总分为(6.56 ± 1.16)分,对照组WHO-5总分为(17.85 ± 3.19)分、临床症状积分总分为(9.04 ± 2.12)分,2组比较,差异有统计学意义(t=-7.146,7.491,P均<0.01).结论 个性化护理干预可以增强生物反馈训练治疗儿童和青少年功能性便秘后效果,提高其生命质量.
Objective To explore the effect of nursing intervention on the biofeedback effect of functional constipation in children. Methods A total of 112 children (4-16 years old) who were diagnosed with functional constipation in the Department of Pediatric Surgery of the First Affiliated Hospital of Zhengzhou University were randomly divided into the experimental group (54 cases) and the control group (53 cases). Children in the experimental group were treated with biofeedback training and personalized nursing intervention for functional constipation in children. The control group used biofeedback combined with traditional nursing intervention to treat functional constipation in children. The WHO-5 (World Health Organization′s five physical and mental health) scales were used to compare the effects of the two groups and were followed up for 3-6 months. Results A total of 107 children completed the study, 54 in the experimental group and 53 in the control group. There were no significant differences in the scores of the WHO-5 scale and clinical symptoms between the two groups before the intervention (P>0.05). After intervention, the total score of WHO-5 in the experimental group was (21.69± 2.28), the total score of clinical symptoms was (6.56±1.16), the total score of WHO-5 in the control group was (17.85 ± 3.189), and the total score of clinical symptoms was (9.04 ± 2.121). The difference was significant (t=-7.146, t=7.491, P<0.01). Conclusion Personalized nursing intervention can enhance the effect of biofeedback training on children and adolescents with functional constipation and improve their quality of life.