Application of trinity new model home nursing in postoperative management of children with Hirschsprung's disease.

OBJECTIVE To explore the application effect of Trinity new model home nursing in postoperative management of children with Hirschsprung's disease (HD). METHODS A retrospective control research was designed, including 80 HD children underwent surgical treatment. According to the nursing model, the children were divided into control group (n=40) and observation group (n=40). They received conventional nursing and Trinity home nursing intervention respectively. The defecation function and quality of life, scores of self-rating anxiety scale (SAS) and family caregiver task inventory (FCTI), incidence of complications and nursing satisfaction before surgery, 3 and 6 months after surgery between the two groups were compared. RESULTS Compared with the control group, the children in the observation group had lower Wexner constipation and fecal incontinence scores at 3 and 6 months after surgery (both P<0.001), while the children's quality of life generic core scale (PedsQLTM4.0) scores at 6 months after operation were higher than those in the control group (P<0.001). The SAS and FCTI scores of family members in the observation group were lower than those in the control group after intervention (all P<0.001). Compared with the control group, the observation group had lower total incidence of complications and higher nursing satisfaction (all P<0.05). CONCLUSION Trinity new model home nursing can effectively increase the intestinal management quality of children undergoing HD surgery, improve their defecation function and quality of life, and reduce the risk of complications.