■尿道成形术是尿道下裂的首选治疗方法,但受异常严重程度的影响,使其具有潜在的术后并发症的复杂程序。手术后,父母收到指示和建议,无论是护士还是医生,不管并发症的发生率。然而,护士在手术前教育护理人员和随访期间提供术后护理方面发挥着至关重要的作用.该研究旨在评估父母的知识和做法,以及接受尿道下裂尿道成形术并接受术后护士指导护理的男孩的并发症频率,以及其父母接受术前教育的男孩在常规医院护理下接受尿道成形术的男孩的并发症频率。
■在这项回顾性研究中,中国西部21-41个月的汉族男孩接受尿道下裂的尿道成形术分为两组:NI队列(n=103),他们接受了术后护士主导的护理,他们的父母接受了术前教育,和RH队列(n=142),男孩接受常规医院护理。
■尿道成形术后,具有满意知识的护理人员数量较高(96(93%)vs.80(56%),p<0.0001)和实践(102(99%)与132(93%),与RH队列相比,NI队列中报告了p=0.0276)。此外,RH队列中更多的男孩经历了中度出血等不良反应(13(9%)vs.1(1%),p=0.0052),伤口感染(17(12%)vs.4(4%),p=0.0356),尿路梗阻(35(25%)与10(10%),p=0.0049),灼烧感(47(33%)vs.15(15%),p=0.0019),和尿支架下降(32(23%)与6(6%),p=0.0008)与NI队列中的那些相比。
■术前指导提高了尿道成形术后护理人员的知识和实践,而术后护士主导的护理减少了与男孩尿道下裂相关的术后即刻并发症。
UNASSIGNED: Urethroplasty is the preferred treatment for hypospadias but is affected by the severity of anomalies, making it a complex procedure with potential postoperative complications. Following surgery, parents receive instructions and recommendations, whether from nurses or physicians, regardless of complication rates. However, nurses play a crucial role in educating caregivers before surgery and providing postoperative care during follow-up. The study aims to assess parents\' knowledge and practices, as well as the frequency of complications in boys who underwent urethroplasty for hypospadias and received postoperative nurse-led care and whose parents received preoperative education against those of boys who underwent urethroplasty under routine hospital care.
UNASSIGNED: In this retrospective study, Han Chinese boys aged 21-41 months in Western China who underwent urethroplasty for hypospadias were divided into two groups: the NI cohort (n = 103), where they received postoperative nurse-led care and their parents received preoperative education, and the RH cohort (n = 142), where boys underwent routine hospital care.
UNASSIGNED: After urethroplasty, higher numbers of caregivers with satisfactory knowledge (96 (93%) vs. 80 (56%), p < 0.0001) and practice (102 (99%) vs. 132 (93%), p = 0.0276) were reported in the NI cohort compared to the RH cohort. Additionally, a higher number of boys in the RH cohort experienced adverse effects such as moderate bleeding (13 (9%) vs. 1 (1%), p = 0.0052), wound infection (17 (12%) vs. 4 (4%), p = 0.0356), urinary obstruction (35 (25%) vs. 10 (10%), p = 0.0049), burning sensation (47 (33%) vs. 15 (15%), p = 0.0019), and urinary stent fall (32 (23%) vs. 6 (6%), p = 0.0008) compared to those in the NI cohort.
UNASSIGNED: Preoperative instructions enhance caregivers\' knowledge and practices following urethroplasty, while postoperative nurse-led care reduces immediate postoperative complications associated with hypospadias in boys.