目的 探讨基于亲子二元互动的家庭护理在腺样体切除术后儿童口面肌功能恢复中的应用效果。方法 2023年10月至2024年1月，便利抽样法选取青岛市某三级甲等医院耳鼻喉科行腺样体切除术的71个儿童家庭为研究对象。根据所在不同楼层的科室进行分组，分为观察组(n=36)和对照组(n=35)。对照组行常规护理随访，观察组实施基于亲子二元互动的家庭护理随访指导。分别于出院前，干预后和随访后进行两组儿童颌面软组织形态，口面肌功能表现，家长照顾能力和完成情况的评价。结果 观察组儿童颌面软组织形态学角度，口面肌功能均有提升，且优于对照组；观察组家长照顾能力评分明显降低，效果优于对照组，差异均有统计学意义（均P＜0.05）。结论实施基于亲子二元互动的家庭护理，能够促进腺样体切除术后儿童的口面肌功能恢复，增强家长照顾能力，有较好的可及性。

Objective To explore the effect of family nursing based on parent-child dyadic interaction in promoting orofacial muscle function recovery in children after adenoidectomy.Methods From October 2023 to January 2024,71 families of children undergoing adenoidectomy in the otolaryngology department of a tertiary A hospital in Qingdao were selected by convenience sampling.They were grouped according to the departments on different floors, divided into an observation group (n=36) and a control group (n=35).The latter received routine nursing follow-up,while the former received follow-up guidance based on the proposed intervention.The craniofacial soft tissue morphology,orofacial muscle function performance,parental care ability,and compliance were evaluated before discharge,after intervention,and during follow-up.Results The observation group showed significant improvements in craniofacial soft tissue morphology and orofacial muscle function compared to the control group.Additionally,the parental care ability scores in the observation group decreased significantly,with better outcomes than the control group (all P＜0.05).Conclusions Implementing family nursing based on parent-child dyadic interaction can promote orofacial muscle function recovery in children after adenoidectomy,enhance parental care ability,and demonstrate good accessibility.

R473.2