Optimizing Perioperative Rehabilitation and Nursing for Children With Cleft Lip and Palate: An OMRU Model Approach

Area of Science:

• Pediatric Surgery
• Nursing Research
• Cleft Lip and Palate Care

Background:

• Cleft lip and palate treatment requires comprehensive care.
• Optimizing perioperative recovery is crucial for pediatric surgical outcomes.

Purpose of the Study:

• To evaluate the effectiveness of an accelerated perioperative rehabilitation protocol guided by the Ottawa Model of Research Use (OMRU).
• To assess the impact of this protocol on speech, psychological well-being, and postoperative complications in children with cleft lip and palate.

Main Methods:

• Retrospective study of 86 children undergoing cleft lip and palate surgery.
• Randomized assignment to a control group (conventional care) or an observation group (OMRU-based rehabilitation).
• Outcomes assessed 3 months postoperatively, including speech intelligibility, psychological well-being, and complications.

Main Results:

• The OMRU-guided observation group demonstrated significantly improved speech intelligibility (P<0.05).
• Enhanced psychological well-being was observed in the observation group (P<0.05).
• Fewer postoperative complications, including pharyngeal edema and aspiration, occurred in the observation group (P<0.05).

Conclusions:

• An OMRU-guided accelerated rehabilitation protocol positively impacts recovery in children with cleft lip and palate.
• This evidence-based nursing care model, incorporating family involvement and continuous improvement, offers a scalable approach to multidisciplinary cleft care.
• The protocol leads to improved short- and long-term outcomes, including better speech, psychological health, and reduced complications.