Abstract:

Objective To explore the effect of nursing process reengineering combined with comfort care on elderly patients with acute appendicitis. Method 100 elderly patients with acute appendicitis admitted to Shuyang Hospital affiliated with Xuzhou Medical University from January to December 2024 were selected and divided into a study group (n=50) and a basic group (n=50) based on differences in nursing plans. The basic group received basic care, while the research group adopted nursing process reengineering combined with comfort care. Compare the surgical related indicators, psychological status at admission and discharge, and incidence of complications between the two groups. Result The postoperative time to get out of bed, anal exhaust time, and hospitalization time of the study group patients were shorter than those of the baseline group. The number rating scales score at 48 hours after surgery was lower than that of the baseline group, and the differences were significant (P ＜ 0.001). Before intervention, there was no significant difference in the psychological state related scores between the two groups of patients (P ＞ 0.05). After intervention, the patient health questionnaire-9 and generalized anxiety disorder scale, generalized anxiety disorder scale scores of the study group patients were significantly lower than those of the baseline group (P ＜ 0.001). The total incidence of complications in the study group was lower than that in the baseline group, and the difference was significant (P ＜ 0.05). Conclusion The combination of nursing process reengineering and comfort care can improve the surgical related indicators and psychological state of elderly patients with acute appendicitis, and reduce the occurrence of complications.

Key words: Nursing process reengineering, Comfort care, Old age, Acute appendicitis