临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (3): 89-.

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循证护理应用于老年疝手术患者的效果观察

  

  1. 蚌埠市第三人民医院 手术室,安徽 蚌埠 233000
  • 出版日期:2025-07-01 发布日期:2025-11-21

Observation on the effect of evidence-based nursing in elderly patients with hernia surgery

  1. Operation Room of the Third People's Hospital of Bengbu, Anhui Bengbu 233000, China
  • Online:2025-07-01 Published:2025-11-21

摘要:

目的 观察并分析循证护理在老年疝手术患者中治疗的效果。方法 2023 年 1 月至 2024 年 9 月在蚌埠市第三人民医院接受疝手术治疗的 100 例老年患者,根据随机数字表法,将患者分为对照组(50例)和观察组(50 例)。对照组按传统护理流程进行护理,观察组则在常规护理基础上结合循证医学的理念进行术前、术中和术后护理。比较两组患者术后恢复情况、并发症发生情况及生活质量等方面的差异。结果 观察组患者术后排气时间、下床活动时间及住院时间均短于对照组,差异均有显著性(P < 0.05)。干预前,两组患者的生活质量评分比较无显著差异;干预后,观察组患者的生活质量评分显著高于对照组,且观察组并发症发生率为 6.00%,低于对照组(16.00%),差异均有显著性(P < 0.05)。结论 老年疝患者手术期间应用循证护理,可以明显缩短患者术后恢复时间,提高术后生活质量,减少并发症发生。

关键词: 疝, 循证护理, 围手术期

Abstract:

Objective To observe and analyze the effect of evidence-based nursing in the treatment of elderly patients with hernia surgery. Method From January 2023 to September 2024, 100 elderly patients who underwent hernia surgery in Bengbu Third People's hospital were randomly divided into control group (50 cases) and observation group (50 cases). The control group received nursing according to the traditional nursing process, while the observation group received preoperative, intraoperative and postoperative nursing combined with the concept of evidence-based medicine on the basis of conventional nursing. The postoperative recovery, complications and quality of life of the two groups were compared. Result The postoperative exhaust time, ambulation time and hospitalization time of the observation group were shorter than those of the control group, and the differences were significant (P < 0.05). Before intervention, there was no significant difference in the quality of life score between the two groups. After intervention, the quality of life score of the observation group was significantly higher than that of the control group, and the incidence of complications in the observation group was 6.00%, lower than that of the control group (16.00%), with significant differences (P < 0.05). Conclusion The application of evidence-based nursing in elderly patients with hernia during operation can significantly improve the speed of postoperative recovery, improve postoperative quality of life, reduce the incidence of complications.

Key words: Hernia, Evidence based nursing, Perioperative period