主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (5): 729-735.doi: 10.3969/j.issn.1672-1756.2026.05.018

• 循证护理 • 上一篇    下一篇

功能性腹痛患儿非药物干预循证实践

张妙贤 张彩凤 刘丽英 魏丽娟 张超米 黄佳林 张陈成 江嘉琪   

  1. 广州医科大学附属妇女儿童医疗中心消化科,510006 广州市(张妙贤,刘丽英,魏丽娟,张超米,黄佳林,张陈成,江嘉琪);呼吸科(张彩凤)
  • 出版日期:2026-05-15 发布日期:2026-05-15
  • 通讯作者: 张彩凤,硕士,副主任护师,循证导师, E-mail:492996304@qq.com
  • 作者简介:张妙贤,本科,主管护师

Non-pharmacological evidence-based intervention for Functional Abdominal Pain in children

ZHANG Miaoxian, ZHANG Caifeng, LIU Liying, WEI Lijuan, ZHANG Chaomi, HUANG Jialin, ZHANG Chencheng, JIANG Jiaqi   

  1. Gastroenterology Department, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510006, China
  • Online:2026-05-15 Published:2026-05-15
  • Contact: E-mail:492996304@qq.com

摘要: 目的:构建儿童功能性腹痛的非药物干预循证实践方案,并评价其临床应用效果,为临床护理实践提供依据。方法:通过文献筛选、评价与汇总,确定功能性腹痛患儿非药物干预的证据。2024年6月至2025年1月,在广东省某三级甲等医院消化内科实施循证实践,基于证据制定审查指标,采用渥太华模式评估潜在障碍并制定应对策略。比较实践前后审查指标执行率、医护人员和家属认知水平、患儿疼痛改善情况。结果:证据应用后,各项审查指标执行率优于实践前,家属对功能性腹痛的认知评分由(59.67±8.31)分升至(81.18±8.06)分,医护人员评分从(69.83±5.92)分升至(88.28±6.43)分;患儿腹痛程度从(3.82±1.05)分降至(2.13±0.87)分,发作频率从(4.50±1.20)次/日降至(2.80±0.90)次/日,差异均有统计学意义(均P<0.05)。结论:多学科协作非药物干预模式可有效提高功能性腹痛患儿护理质量,增强家属照护能力并改善患儿症状,具有良好临床应用价值。

关键词: 功能性腹痛;非药物干预;循证护理实践

Abstract: Objective: To develop an evidence-based clinical protocol for non-pharmacological interventions for children with Functional Abdominal Pain (FAP) and evaluate its clinical application effects, thereby providing a basis for nursing care. Methods: Evidence for non-pharmacological interventions for FAP was identified through literature screening, evaluation, and synthesis. Evidence-based practice was implemented in the gastroenterology department of a tertiary grade A hospital in Guangdong province from June 2024 to January 2025. Based on the evidence summary, audit criteria were developed. The Ottawa Model was used to assess potential barriers and formulate corresponding strategies. Comparisons were made before and after the practice regarding nurses' implementation rates, the knowledge levels of medical staff and family members, and the improvement in children's pain. Results: After the application of evidence, nurses' implementation rates for various audit criteria were higher than those before the practice. The family members' knowledge score for FAP increased from 59.67±8.31 to 81.18±8.06, the medical staff's knowledge score for FAP increased from 69.83±5.92 to 88.28±6.43. The children's abdominal pain intensity decreased from 3.82±1.05 to 2.13±0.87, and the frequency of episodes decreased from 4.50±1.20 to 2.80±0.90 times per day. These differences were statistically significant (all P<0.05). Conclusion: The multidisciplinary collaborative non-pharmacological intervention model can effectively improve nursing quality on children with FAP, enhance family members' capabilities, and alleviate children's symptoms, demonstrating good value for clinical application.

Key words: Functional Abdominal Pain; non-pharmacological intervention; evidence-based nursing practice

中图分类号:  R47;R197