Tonsillar adenoid hypertrophy in children
Conditions
Interventions
Experimental group:WeChat automated temporal follow-up path based on Meleis transition theory
Regular Group:Routine discharge education
Sponsors
The Affiliated Hospital of Xuzhou Medical University
Eligibility
Sex/Gender
All
Age
3 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1. Age of the child patient: 3 to 12 years old. 2. Disease diagnosis: The patient meets the diagnostic criteria outlined in the "Diagnostic and Treatment Guidelines for Tonsillar and Adenoidal Hypertrophy in Children". It is planned to perform elective tonsillectomy with or without adenoidectomy. 3. Surgical mode: Meet the criteria for day surgery pathway, with an expected hospital stay not exceeding 48 hours. 4. Caregiver requirements: The primary caregiver for the child (usually a parent) should be a fixed individual who possesses basic Chinese reading and writing skills, and is proficient in using smartphones and WeChat; 5. Informed consent: The caregiver understands the content of this study, voluntarily participates, and signs a written informed consent form.
Exclusion criteria
Exclusion criteria: 1. Complication risk: Patients with severe congenital heart disease, hematological diseases (such as coagulation dysfunction), neurological diseases, or developmental delays. 2. Severe OSA: Preoperative polysomnography (PSG) indicates severe obstructive sleep apnea (OSA), and postoperative monitoring in the ICU or with CPAP/ventilator is required. 3. Family stress: Caregivers who have experienced significant life stress events (such as bereavement, divorce, etc.) in the past three months may severely interfere with psychological scale assessments. 4. Special social background: The child is an orphan, a foster child, or the primary caregiver has severe psychological and communication disorders. 5. Repeated enrollment: The caregiver has already participated in other clinical intervention studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Level of anxiety;Nursing transition quality; | — |
Secondary
| Measure | Time frame |
|---|---|
| Parent readiness for discharge;Postoperative hemorrhage (PTH);Behavioral changes after surgery;Pain;Frequency of unplanned medical contact;Daily water intake; | — |
Countries
China
Contacts
Public ContactDan Jin
The Affiliated Hospital of Xuzhou Medical University
Outcome results
None listed