双环节协同护理模式在老年腹股沟疝患者中的应用效果

Effects of double-link collaborative nursing mode in elderly patients with inguinal hernia

目的探讨双环节协同护理模式对老年腹股沟疝患者术后疼痛、胃肠功能、生活质量的影响。方法选取2020年9月至2022年6月,宿州市第一人民医院收治的90例老年腹股沟疝患者进行回顾性研究,依护理方案不同分为对照组(接受常规护理)和试验组(在常规护理基础上进行双环节协同护理),各45例。比较2组术后24、48 h的疼痛视觉模拟评分(VAS)、术后胃肠功能恢复情况、术后2周及1个月的健康状况调查问卷评分(SF-36)、护理满意度、术后并发症。结果试验组术后24、48 h的VAS评分均低于对照组(P<0.05)。试验组术后首次排气和排便时间早于对照组(P<0.05)。试验组术后2周及1个月的SF-36评分均高于对照组(P<0.05)。试验组的总满意率为95.56%,高于对照组的82.22%(P<0.05)。试验组与对照组术后发生切口感染、压疮、阴囊水肿、肠梗阻并发症的总发生率分别为8.89%和15.56%,差异无统计学意义(P>0.05)。结论老年腹股沟疝患者应用双环节协同护理模式有利于减轻术后疼痛,促进术后胃肠功能恢复,提高生活质量。

Objective To explore the effects of double-link collaborative nursing mode on postoperative pain,gastrointestinal function and quality of life in elderly patients with inguinal hernia.Methods A retrospective study was conducted on 90 elderly patients with inguinal hernia who were treated at Suzhou First People's Hospital from September 2020 to June 2022.According to different nursing plans,they were divided into a control group(receiving conventional care)and an experimental group(receiving dual-link collaborative care on the basis of conventional care),with 45 cases each.The scores of visual analogue scale(VAS)at 24 h and 48 h after surgery,postoperative recovery of gastrointestinal function,scores of 36-item short-form(SF-36)at 2 weeks and 1 month after surgery,nursing satisfaction and postoperative complications were compared between the two groups.Results The VAS scores at 24 and 48 hours post-operation in the experimental group were lower than those in the control group(P<0.05).The first time of postoperative flatus and bowel movement in the experimental group was earlier than that in the control group(P<0.05).The SF-36 scores at 2 weeks and 1 month post-operation in the experimental group were higher than those in the control group(P<0.05).The total satisfaction rate of the experimental group was 95.56%,which was higher than the 82.22%of the control group(P<0.05).The total incidence of postoperative complications such as incision infection,pressure sores,scrotal edema,and intestinal obstruction in the experimental group and control group were 8.89%and 15.56%respectively,with no significant difference(P>0.05).Conclusion The application of double-link collaborative nursing mode is beneficial to relieve postoperative pain,promote postoperative recovery of gastrointestinal function and improve quality of life in elderly patients with inguinal hernia.