用医学美学的理念指导唇腭裂患儿的临床护理

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1、用医学美学的理念指导唇腭裂患儿的临床护理用医学美学的理念指导唇腭裂患儿的临床护理［摘要］目的：总结以医学美学的理念指导先天性唇腭裂患儿临床护理的经验。方法：本组患儿309例，男169例，女140例；年龄：1月〜18岁，体重l・5〜66Kg；单纯唇裂79例，唇裂伴腭裂181例，单纯腭裂49例。所有患者均行手术整复。主耍的护理内容有：从医学美学的角度进行唇腭裂相关知识的宣教；帮助患儿及父母的心理达到平衡状态；以医学美学的理念指导常规护理操作和舒适护理；美化病房环境；出院的美学指导。结果：309例唇腭裂患儿的护理均取得了较满意的效果，唇裂患儿术后容貌明显美观；仅8例腭裂患儿发生腭痿或复裂，其余患

2、儿创口愈合良好，悬雍垂成形，语音明显改善。结论：以医学美学的理念指导临床护理，有助于提高唇腭裂患儿的医护质量和患者满意度，并有利于提高护理人员的美学修养。［关键词］唇腭裂；医学美学；护理［中图分类号］R782・2［文献标识码］A［文章编号］1008-6455(2014)05-0411-03ClinicalnursingonchildrenwithcleftlipandpalatebytheprincipleofmedicalaestheticsHELi-ping,WANGXuan-qin(DepartmentofPlasticSurgery,Children‘sHospitalAffili

3、atedtoChongqingMedicalUniversity,Chongqing400014,China)Abstract：ObjectiveTosummarizetheexperieneeaboutclinicalnursingonchildrenwithcleftlipandpalatebytheprincipleofmedicalaesthetics・MethodsClinicalDataof309patientswithcleftlipandpalate,ofwhich169weremaleand140werefemale,werecollected.Thepatientswe

4、reaged1monthto18yearsandweighed1.5〜66Kg・Amongthem,79hadcleftlip,49hadcleftpalateand181hadbothofthem・Allofthepatientswereunderwentsurgicalrepairation.Theclinicalnursingineluded:teachpatriarchtheknowledgeofcleftlipandpalatebasedontheperspectiveofmedicalaesthetics,tohelpchildrenandparents，psychologic

5、albalancestateofbeauty,conducttheroutinenursingprocedureandcomfortablenursingonthebasisofmedicalaesthetics,beautifytheenvironmentoftheward,makethedischargeguidebytheprincipleofmedicalaesthetics・ResultsForall309patients,careachievedsatisfactoryclinicalresults・Lipwoundshealedwithsignificantimproveme

6、ntinappearanceinallpatientswithcleftlip;postoperativepalatalfistulaorcleftagainoccurredin8cleftpalatecases,theremainingpatientshadgoodwoundhealingandsignificantimprovementinspeech・ConclusionTheclinicalnursingguidedbytheconceptionofmedicalaestheticsmayimprovethequalityoftreatment,achievebettersatis

7、factionofpatientsandmakenursesmoreaestheticscultivation.Keywords：cleftlipandpalatejmedicalaesthetics:nursing唇腭裂是颌面部最常见的先天性畸形[1],目前多采取综合序列治疗的程序，其中唇腭裂整复手术是改善患儿容貌和语咅的主要步骤。近年来，笔者尝试将医学美学的理念贯穿在临床护理的全过程，提高了护理质量，并获得了患儿及家