临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 170-.

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全面护理干预应用于经腹腔镜下腹股沟斜疝腹膜前补片植入术患者的效果分析

  

  1. 淮安市淮阴医院 外科,江苏 淮安 223300
  • 出版日期:2022-07-01 发布日期:2022-10-26

Effect of comprehensive nursing intervention on patients with indirect inguinal hernia undergoing laparoscopic preperitoneal patch implantation

  1. Surgery Department of Huaiyin Hospital in Huai'an City, Jiangsu Huai'an 223300, China
  • Online:2022-07-01 Published:2022-10-26

摘要:

目的 分析全面护理干预应用于经腹腔镜下腹股沟斜疝腹膜前补片植入术患者的效果。方法 选取淮安市淮阴医院2021 年1 月至2021 年11 月收治的40 例腹股沟斜疝患者,所有患者均实施经腹腔镜下腹股沟斜疝腹膜前补片植入术治疗,采用计算机盲选法将患者分为研究组、对照组,各20 例。在围手术期对照组采用常规护理,研究组采用全面护理干预,对比护理效果。结果 研究组患者术后肛门排气时间、下床活动时间、排便时间、住院时间分别为(20.25±5.50)h、(16.31±4.61)h、(32.56±3.54)h、(3.55±1.14)d,均短于对照组的(24.02±5.33)h、(20.50±4.33)h、(37.76±4.62)h、(4.92±1.03)d,差异均有显著性(P < 0.05)。研究组患者术后第1 天、第3 天的疼痛评分分别为(2.33±1.03)分、(1.72±0.63)分,均显著低于对照组(P < 0.05)。研究组患者的汉密尔顿焦虑量表评分、抑郁量表评分分别为(8.24±1.58)分、(11.58±1.26)分,均低于对照组(P < 0.05),且研究组患者的并发症发生率为0,显著低于对照组的20.00%,护理满意度为95.00%,显著高于对照组的70.00%,差异均有显著性(P < 0.05)。结论 针对接受经腹腔镜下腹股沟斜疝腹膜前补片植入术的患者,在围手术期实施全面护理干预,能显著改善患者疼痛情况,促进患者恢复,同时护理满意度及并发症发生情况均较好。

关键词: 腹腔镜, 腹股沟斜疝, 全面护理干预, 疼痛, 并发症, 护理满意度

Abstract:

Objective To analyze the effect of comprehensive nursing intervention applied to patients with laparoscopic anterior inguinal hernia. Method 40 patients with indirect inguinal hernia treated in Huaiyin Hospital in Huai'an City from January 2021 to November 2021 were selected. All patients were treated with laparoscopic anterior inguinal hernia patch implantation. The patients were divided into study group and control group by computer blind selection, with 20 cases in each group. Routine nursing was used in the control group during perioperative period, and comprehensive nursing intervention was used in the study group to compare the nursing effects. Result The anal exhaust time, ambulation time, defecation time and hospitalization time in the study group were (20.25±5.50)h, (16.31±4.61)h, (32.56±3.54)h and (3.55±1.14)d, respectively, shorter than those in the control group(24.02±5.33)h, (20.50±4.33)h, (37.76±4.62)h and (4.92±1.03)d, with significant differences

(P < 0.05). The pain scores of the study group on the 1st and 3rd day after operation were (2.33±1.03) and (1.72±0.63) respectively, which were significantly lower than those of the control group (P < 0.05). The scores of Hamilton Anxiety Scale and depression scale in the study group were (8.24±1.58) and (11.58±1.26) respectively, which were lower than those in the control group (P < 0.05). Conclusion Comprehensive nursing intervention during the perioperative period can significantly improve patients' pain and promote their recovery. At the same time, nursing satisfaction and complications are good.

Key words: Laparoscopy, Indirect inguinal hernia, Comprehensive nursing intervention, Pain, Complication, Nursing satisfaction