Application of critical thinking in nursing after neonatal ostomy
批判性思维在新生儿造瘘术后护理中的应用

摘要

目的 讨论研究在新生儿造瘘术后护理中融入批判性思维的价值作用。方法 将2019年1月到2021年12月期间院内的40例造口患儿纳入研究范围，利用随机分配法划分为对照组（接受常规基础护理工作）、观察组（在常规基础护理工作中融入批判性思维），对比家属的照护能力情况，对比两组患者住院时长，对比两组家属对护理工作满意情况，对比两组患者造口周围潮湿相关性皮肤损伤、造口回缩、造口肠管脱垂、造口处肠管缺损坏死、造口狭窄、造口旁疝、造口出血等并发症发生风险，结果 观察组整体家长照护能力评分评分明显高于对照组、住院时间明显短于对照组、家属对护理工作满意水平明显高于对照组、患儿总并发症发生风险明显低于对照组，P<0.05，有统计学差异。结论 在新生儿造瘘术后护理中融入批判性思维，能够将家长照护能力水平提升到新高度，将患儿相关并发症发生风险控制在合理范围，让患儿尽早出院，让患儿家属更加满意护理工作。

Abstract

Objective To discuss the value of integrating critical thinking in the nursing of neonatal fistula.
Methods From January 2019 to December 2021, 40 children with stoma in the hospital were included in the research scope, and were divided into control group (receiving routine basic nursing work) and observation group (integrating into routine basic nursing work) by random assignment method. critical thinking), comparing the nursing ability of the family members, comparing the length of hospitalization of the two groups of patients, comparing the satisfaction of the family members with the nursing work between the two groups, comparing the two groups of patients with moisture-related skin damage around the stoma, stoma retraction, stoma intestinal tube The risk of complications such as prolapse, intestinal defect at the stoma, stoma stenosis, parastomal hernia, stoma hemorrhage
Results The overall parental care ability score of the observation group was significantly higher than that of the control group, and the length of hospital stay was significantly shorter than that of the control group , The satisfaction level of family members with nursing work was significantly higher than that of the control group, and the risk of total complications of the children was significantly lower than that of the control group, P<0.05, there was a statistical difference.
Conclusion   Incorporating critical thinking into the nursing after neonatal ostomy can raise the level of parental care ability to a new level, control the risk of complications related to children within a reasonable range, allow children to be discharged as soon as possible, and make their families more Satisfied with nursing work.