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Nursing Intervention for Outpatient Rehabilitation in Pediatric Patients with Hirschsprung Disease after Colectomy.
[hirschsprung disease]
Objective
The
present
study
was
designed
to
evaluate
the
effectiveness
of
a
nursing
intervention
program
for
outpatient
rehabilitation
of
children
with
Hirschsprung-associated
enterocolitis
(
HAEC
)
after
radical
colectomy
for
Hirschsprung
disease
(
HD
)
.
Background
Postoperative
outcomes
severely
affect
the
quality
of
life
in
pediatric
HD
patients
after
operation
.
The
improvement
in
defecation
function
is
regarded
as
one
of
the
most
useful
parameters
to
evaluate
the
quality
of
life
in
HD
patients
after
radical
intestinal
resection
.
A
close
attention
should
also
be
paid
to
the
patients
'
ability
of
social
adaptation
.
Methods
This
prospective
,
randomized
control
trial
enrolled
85
pediatric
patients
with
HAEC
after
colectomy
.
They
were
randomly
divided
into
the
control
and
intervention
groups
.
All
the
patients
were
followed
up
for
6
to
12
months
after
initial
HAEC
treatment
.
Results
The
intervention
group
had
a
lower
enterocolitis
recurrence
rate
than
the
control
group
,
with
a
better
ability
to
control
defecation
and
their
parents
had
better
rehabilitation
nursing
knowledge
(
p
<
0
.
05
)
.
The
degree
of
parents
'
satisfaction
regarding
the
outcome
was
significantly
better
in
the
intervention
group
than
that
in
the
control
group
(
p
<
0
.
05
)
.
Conclusion
A
systemic
rehabilitation
nursing
program
could
decrease
enterocolitis
recurrence
,
improve
the
recovery
of
anorectal
functions
,
and
enhance
the
quality
of
life
in
the
pediatric
patients
after
radical
colectomy
.
