Journal of Developmental Medicine(Electronic Version)  2023, Vol. 11 Issue (1): 32-37，43 DOI: 10.3969/j.issn.2095-5340.2023.01.006 |
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| Clinical application of individualized dietary intervention model in children withadenoidectomy and tonsillecto |
| Sun Yan, Wang Yanron, Lin Feng, et al
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1. Department of Otolaryngology, Head & Neck Surgery, Children’s Hospital Capital Institute of Pediatrics,
Beijing 100020, China; 2. Department of Cardiac Surgery, Children’s Hospital Capital Institute of Pediatrics,
Beijing 100020, China; 3. Department of Operation Room, Children’s Hospital Capital Institute of Pediatrics,Beijing 100020, China
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Abstract 【Abstract】 Objective To investigate the effect of individualized dietary intervention mode on body mass,wound pain and bleeding in children after plasma adenoidectomy and tonsillectomy. Method From October2019 to September 2020, 102 children hospitalized in the Children's Hospital Capital Institute of Pediatricswho underwent plasma adenoidectomy and tonsillectomy were selected as the study subjects. According tothe odd or even dates of admission, they were divided into the experimental group (n=51) and the controlgroup (n=51). The experimental group adopted individualized dietary intervention mode, while the controlgroup adopted routine traditional nursing. The differences in body mass, wound pain, bleeding and familysatisfaction between the two groups were compared. The statistical method performed by independent sample t test, nonparametric rank sum test, χ2 test or Fisher exact probability method. Result The weight loss ofthe third day after operation in the experimental group and the control group was [0.4 (0.2, 0.6) vs 0.5 (0.3,1.2) kg, Z=-3.109, P<0.05], respectively; the weight loss on the 5th day after operation was [0.5 (0.2, 0.8) vs1.0 (0.7, 1.4) kg, Z=-4.935, P<0.001], respectively; the weight loss on the 7th day after operation was [0.6(0.3,0.9) vs 1.1 (0.8,1.5) kg, Z=-5.278, P<0.001], respectively; the weight loss in the experimental groupwas lower than that in the control group, and the differences were statistically significant. The incidence ofsevere pain on the 5th day after operation in the experimental group and the control group was [11.7% (6/51)vs 33.3% (17/51), χ2=9.492, P<0.05], respectively; the incidence of severe pain on the 7th day was [0.0%(0/51) vs 7.8% (4/51), P<0.05], respectively; the incidence of severe pain in the experimental group waslower than that in the control group, and the differences were statistically significant. In the control group,there was 1 case of wound bleeding on the 5th day after operation, while in the experimental group, therewas no postoperative wound bleeding. The score of family satisfaction questionnaire in the experimentalgroup was higher than that in the control group [(29.8±0.5) vs (27.9±0.5) points, t=13.913, P<0.001],and the difference was statistically significant. Conclusion Individualized dietary intervention has asignificant effect on delaying the body mass decline within one week after plasma adenoidectomy andtonsillectomy, effectively reducing the occurrence of postoperative wound pain, and improving the satisfaction of children's families.
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Received: 07 March 2022
Published: 30 January 2023
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