Application and Effectiveness of the Perioperative Position Management in Patients with Congenital Microtia.

Abstract

The reconstructed ear structure is fragile, necessitating strict avoidance of postoperative pressure to ensure surgical outcome. This study aimed to evaluate the clinical application and effectiveness of a perioperative position management program constructed for patients with congenital microtia. A quasi-trial design with nonrandomized grouping was adopted. Using convenience sampling, 98 patients with congenital microtia admitted to a tertiary specialized hospital in Shanghai from May to August of 2023 were included in the control group and received routine care. From September to December of 2023, another 98 patients were included in the intervention group, receiving a perioperative position management program in addition to routine care. Effectiveness was evaluated using the Ear Reconstruction Effectiveness Scale, Screen for Child Anxiety Related Emotional Disorders, Quality of Life Scale for Congenital External and Middle Ear Malformation Patients, Self-Rating Anxiety Scale, Northwick Park Neck Pain Questionnaire, and Position Execution Checklist. The intervention group had lower rates of reconstructed ear pressure and limited neck mobility, Northwick Park Neck Pain Questionnaire, anxiety levels for patients and their families, and postoperative complications compared with the control group. The intervention group exhibited superior auricular reconstruction outcomes and higher quality of life. Implementing a perioperative position management program for patients with congenital microtia can improve the correct execution rate of patient positioning, enhance quality of life, alleviate anxiety for patients and their families, and reduce the incidence of complications. Therapeutic, II.