目的 探究在唇腭裂婴幼儿术后喂养中采取情景教学法的应用效果.方法 选取2015年1月～2017年1月在西安交通大学第一附属医院整形科实施唇腭裂修补术的160例婴幼儿家庭作为研究对象,将其按照随机数字表法分为对照组和观察组,每组各80例,对照组采取常规术后喂养护理,观察组采取情景教学法喂养护理,比较两组并发症发生率、护理满意度等方面指标.结果 观察组患儿家属在喂养注意事项、喂养方法、喂养时间等方面的喂养知识掌握度评分均高于对照组患儿家属,差异有统计学意义(P＜0.05).观察组患儿的喂养依从性为96.25％,对照组患儿的喂养依从性为81.25％,观察组依从性显著高于对照组,差异有统计学意义(P＜0.05).观察组患儿术后并发症发生率为2.50％,对照组为11.25％,观察组明显低于对照组,差异有统计学意义(P＜0.05).观察组患儿家属总满意率为96.25％,对照组患儿家属总满意率86.25％,观察组明显高于对照组,差异有统计学意义(P＜0.05).结论 唇腭裂患儿在术后护理中采用情景教学法可以提高家属对喂养知识掌握度,有利于提高患儿喂养依从性,减少并发症发生,进一步提高患儿家属对护理服务满意度.%Objective To investigate the effects of situational teaching in feeding of infants with cleft lip and palate after operation.Methods From January 2015 to January 2017,160 cases of infants received repair of cleft lip and palate at Department of Burn and Plastic Surgery of the First Affiliated Hospital of Xi'an Jiao Tong University were selected,and they were divided into the control group and the observation group by random number table,with 80 cases in each group.The routine postoperative feeding nursing was applied to the control group,while the situational teaching method of feeding nursing was applied to the observation group.The incidences of complications and nursing satisfaction between the two groups were compared.Results The mastery degree of feeding knowledge including feeding precautions,feeding methods and feeding time in family members of the observation group was higher than that of the control group,with statistically significant difference (P ＜ 0.05).The feeding compliance of the observation group was 96.25％,while that of the control group was 81.25％.The compliance of the observation group was significantly higher than that of the control group,with statistically significant difference (P ＜ 0.05).The incidence of postoperative complications in the observation group was 2.50％,while that of the control group was l 1.25％.The observation group was significantly lower than the control group,with statistically significant difference (P ＜ 0.05).The total satisfaction rate of the families of the children in the observation group was 96.25％,while the total satisfaction rate of the family members in the control group was 86.25％.The total satisfaction rate of observation group was significantly higher than the control group,with statistically significant difference (P ＜ 0.05).Conclusion The application of situational teaching method in postoperative children with cleft lip and palate can improve family members' mastery of feeding knowledge,improve children's feeding compliance,reduce complications,and further improve their family members' satisfaction with nursing services.
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