Application of holistic nursing approach to improve facial aesthetics of children with congenital cleft palate

doi:10.19438/j.cjoms.2023.03.005

Abstract

Abstract: PURPOSE: To evaluate the effect of holistic nursing approach in surgical nursing of children with congenital cleft palate malformation and its influence on facial aesthetics. METHODS: Eighty-seven children with congenital cleft palate from January 2019 to November 2021 were selected and randomly divided into the experimental group(n=44) and control group (n=43) by blind selection. The control group received routine operating room nursing, while the experimental group received holistic nursing. The operation situation, intraoperative vital signs, postoperative adverse reactions, nursing satisfaction of children's parents, speech intelligibility before and after operation, pain and facial aesthetics were compared between the two groups. SPSS 26.0 software package was used for statistical analysis. RESULTS: The operation time, hospital stay and intraoperative bleeding in the experimental group were significantly less than those in the control group (P<0.01). The heart rate and respiratory rate of the experimental group were significantly lower than those of the control group (P<0.05), and the oxygen saturation of the experimental group was significantly higher than that of the control group (P<0.05). The overall satisfaction of nursing work and facial aesthetics of family members of children in the experimental group were better than those in the control group(P<0.05). The speech intelligibility of the two groups after operation was significantly higher than that before operation (P<0.05), and the speech intelligibility of the experimental group was significantly higher than that of the control group (P<0.05). The pain score of the two groups 48 hours after operation was significantly lower than that 6 hours after operation (P<0.05), and the pain score of the experimental group was significantly lower than that of the control group(P<0.05). CONCLUSIONS: The holistic nursing path for children with congenital cleft palate can improve facial aesthetics of children, maintain the stability of vital signs, reduce postoperative adverse reactions and pain, and improve speech clarity of children and nursing satisfaction of family members.

Key words: Holistic nursing path, Congenital cleft palate, Reconstructive surgery, Facial aesthetics

CLC Number:

R782.2

LAN Chun-hui, ZHANG Xue-yan, WEI Min-ling, DING Wen-wei, LIANG Jian-hua. Application of holistic nursing approach to improve facial aesthetics of children with congenital cleft palate[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(3): 237-242.

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