基于尼尔·诺丁斯关怀理论的全程护理对先天性巨结肠症患儿术后康复及家属满意率的影响
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Impact of Comprehensive Nursing Based on Neil Noddings' Care Theory on Postoperative Recovery andFamily Satisfaction of Children with CongenitalMegacolon/ZHANG Xiuchai.//Medical Innovationof China，2025，22（19）： 094-098
[Abstract]Objective： To explore the impact of comprehensive nursing based on Neil Noddings'care theory onpostoperative recoveryand familysatisfaction of children with congenital megacolon.Method：A totalof 78 children with congenital megacolon admitted to the First Afiliated Hospitalof Fujian Medical University from May 2022 to May 2O24 were randomly divided into two groups using a random number table method， with 39 cases in each group.The control group received routine surgical care，while the observation group received comprehensive nursing based on Neil Noddings' care theory.The postoperative FLACC pain scale scores，incontinence associated dermatitis （IAD） incidence，recovery time，and family satisfaction rate were compared between the two groups of children.Result： The FLACC scores of the observation group were lower than those of the control group at 12， 24，and 48 h after surgery，the differences were statistically significant （ P <0.05）. The total incidence of IAD in the observation group was lower than that in the control group，the diffrence was statistically significant （ P <0.05）. The recovery time of Various indicators in the observation group were shorter than those in the control group， thedifferenceswere statistically significant （ P <0.05）.Theoverall satisfactionrate of the familymembersof the observation group was higher than that of the control group，the difference was statistically significant （ P <0.05）. Conclusion： Comprehensive nursing based on Neil Noddings'care theory can alleviate postoperative pain symptoms in children with congenital megacolon，reduce the occurrence of postoperative IAD，accelerate postoperative recovery，and improve the satisfactionrate of their families.
[Key words]Neil Noddings' care theoryComprehensive nursingCongenital megacolon Recovery Satisfaction rate
先天性巨结肠症是一种常见的儿童先天性消化道畸形疾病，主要是由于大肠内的神经结细胞没有长好所致，典型症状为胎便排出延缓、顽固性便秘、腹胀等，若未得到有效治疗，可出现大量便血、肠狭窄、中毒性肠扩张等，严重威胁患儿生命]。（剩余6193字）