中国美容医学2025，Vol.34Issue(4)：77-81,5.
基于沟通技巧的干预模式对急诊缝合患儿术中配合及伤口愈合的影响
Effect of Intervention Model Based on Communication Skills on Intraoperative Cooperation and Wound Healing in Children with Emergency Suture
李倩 1刘丽丽 2黄柳明 3李栓玲 3高璐晨 1王旭莹 1宋楠2
作者信息
- 1. 首都医科大学附属北京儿童医院 急诊科 北京 100045
- 2. 首都医科大学附属北京儿童医院 护理部 北京 100045
- 3. 首都医科大学附属北京儿童医院 急诊外科 北京 100045
- 折叠
摘要
Abstract
Objective To explore the effect of intervention model based on communication skills on intraoperative cooperation and wound healing in children with emergency suture.Methods A total of 102 children with facial trauma who were admitted to the author's hospital for emergency suture from January 2023 to May 2023 were selected as the research objects.According to the random lottery method,they were divided into the conventional group with routine intervention(51 cases)and the communication skills group with communication skills-based intervention model intervention(51 cases).The wound healing and complications of the two groups during the follow-up period were counted.The anxiety before and 5 min after operation,intraoperative suture coordination,suture time,scar evaluation after 1 month of follow-up,parents'satisfaction with suture aesthetics,and children's review compliance were compared between the two groups.Results The success rate of suture in the communication skill group was better than that in the conventional group(P＜0.05).There was no significant difference in wound healing grade between the two groups(P＞0.05).The mYPAS scores of the two groups at 5 minutes after operation were lower than those at 5 minutes before operation,and the MYPAS scores of the communication skills group before and 5 minutes after operation were lower than those of the conventional group(P＜0.05).The communication skill group had a higher total intraoperative cooperation rate and a shorter suture time than the conventional group(P＜0.05).One month after operation,the children's pruritus and pain scores and the scores of scar expansion,hypertrophy/atrophy,erythema,and global impression evaluated by doctors in the communication skills group were significantly lower than those in the conventional group(P＜0.05),and the parents'satisfaction rate with the general suture appearance was significantly higher than that in the conventional group(P＜0.05).The communication skills group had a significantly higher total compliance rate of review than the conventional group(P＜0.05).After operation,there was no significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion The intervention model based on communication skills could effectively improve the intraoperative cooperation of children with facial trauma emergency suture,reduce the anxiety state of children,shorten the suture time,improve the scar condition,improve the aesthetic satisfaction of parents and the compliance of children,and help to control the occurrence of complications,which had a good intervention effect.关键词
面部外伤/儿童/急诊/缝合/沟通技巧/术中配合/满意度Key words
facial trauma/children/emergency/suture/communication skills/intraoperative cooperation/satisfaction分类
临床医学引用本文复制引用
李倩,刘丽丽,黄柳明,李栓玲,高璐晨,王旭莹,宋楠..基于沟通技巧的干预模式对急诊缝合患儿术中配合及伤口愈合的影响[J].中国美容医学,2025,34(4):77-81,5.
