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High quality nursing based on childlike interest in children with cleft lip and palate: application assessment after
Yi Peng1, Xiaoyan Hao2, Yuan Guo3
1Department of Plastic and Cosmetic Maxillofacial Surgery, First Affiliated Hospital of Xi'an Jiaotong University, No. 277 Yanta West Road, Xi'an, 710061, Shaanxi, China. py181979@163.com.
Insights
High-quality nursing using a childlike interest approach significantly improves outcomes for children with cleft lip and palate. This method reduces pain, speeds healing, and enhances quality of life, making it a safe and effective clinical practice.
Area of Science:
- Pediatric Nursing
- Surgical Recovery
- Child Psychology
Background:
- Cleft lip and palate (CLP) significantly impacts a child's post-operative recovery.
- Optimizing nursing care is crucial for improving patient outcomes and reducing complications in pediatric surgical patients.
Purpose of the Study:
- To evaluate the effectiveness of high-quality nursing, incorporating a childlike interest approach, for children undergoing cleft lip and palate surgery.
- To assess the impact of this specialized nursing care on healing time, pain levels, psychological well-being, quality of life, and complication rates.
Main Methods:
- A randomized controlled trial involving 62 children with cleft lip and palate.
- Comparison between an observation group receiving nursing care based on childlike interest and a control group receiving routine nursing.
- Data collection included healing time, hospital stay, pain scores, depression and anxiety levels (SDS, SAS), quality of life assessments, and complication monitoring.
Main Results:
- The intervention group demonstrated significantly shorter healing times and hospital stays compared to the control group.
- Post-intervention, the intervention group experienced significantly lower pain scores, reduced depression and anxiety (SDS, SAS), and improved quality of life scores.
- The incidence of post-operative complications was significantly lower in the group receiving nursing care based on childlike interest.
Conclusions:
- High-quality nursing care, tailored with a childlike interest approach, significantly enhances recovery for children with cleft lip and palate.
- This nursing strategy effectively reduces pain, shortens recovery periods, improves psychological state and quality of life, and minimizes complications.
- The approach is safe and suitable for widespread clinical application in pediatric care settings.
Purpose:
The aim of this study was to assess the effect of high-quality nursing based on the concept of childlike interest in children with cleft lip and palate following operation on healing time, degree of pain, psychological state, quality of life, and the occurrence of complications.
Methods:
A series of 62 children with cleft lip and palate was treated in our hospital from January 2019 to March 2021. The patients were randomly divided into observation group (31 cases, given high-quality nursing based on childlike interest) and control group (31 cases, given routine nursing intervention). The healing time and hospital stay of the two groups were recorded. The degree of pain, psychological state and quality of life of the two groups before and after intervention were compared, and the occurrence of complications was closely monitored.
Results:
Compared with the control group, the healing time and hospital stay of the study group were significantly shorter after the intervention (P < 0.05). Before the intervention, no significant difference was identified in pain score between the two groups (P < 0.05), after the intervention, however, the pain score of the study group was significantly lower compared with the control group (P < 0.05). Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) scores of the two groups were comparable before intervention (P > 0.05), while after intervention the SDS and SAS scores of the two groups were lower than those before treatment. Compared with the control group, the SDS and SAS scores of the study group were remarkably lower (P < 0.05). Before the intervention, the quality of life scores of the two groups were comparable (P > 0.05), while after the intervention, the scores of quality of life in the two groups were associated with lower outcomes. Compared with the control group, the scores of quality of life in the study group were significant lower (P < 0.05). After the intervention, there were evident fewer incidence of complications in the study group compared to the control group (P < 0.05).
Conclusions:
High quality nursing based on childlike interest exerted beneficial outcomes in terms of shortening the healing time and hospital stay, reducing the degree of pain and complications, as well as improving the psychological state and quality of life of children harboring cleft lip and palate. Additionally, its high safety feature contributes to the wide application for clinical practice.
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