围手术期护理干预对无张力疝修补患者预后与SAS的影响研究

Perioperative Nursing Intervention on the Tension-free Hernia Repair about the Prognosis of Patients and SAS

目的总结和探讨无张力疝修补的围手术期护理。方法选取3年来65例无张力疝修补患者,随机分为两组,对照组32例采用常规护理措施,观察组33例针对患者的心理特点,加强术前心理护理及手术前后配合知识宣教,术后密切观察病情及切口情况进行饮食和康复指导。结果观察组患者的刀口愈合时间、住院时间均显著低于对照组患者,观察组患者并发症发生率显著低于对照组患者,观察组患者满意度显著高于对照组患者,均有统计学差异(P<0.05)。心理状态评定采用SAS焦虑评分表,治疗前两组患者的焦虑、抑郁量表得分无统计学意义(P>0.05),治疗后观察组评分比对照组显著改善(P<0.05)。结论做好术前术后的护理是手术成功的关键。

Objective To summarize and explore the perioperative care of tension-free hernia repair. Methods In the near 3 years,65 cases of tension-free hernia repair patients were randomly divided into two groups,32 patients of the control group were treated with conventional care measures,in the observation group, 33 cases for the patient＇s psychological characteristics,strengthen preoperative psychological care before and after surgery with the knowledge missionaries,give close observation of the condition incision diet and rehabilitation guidance.Results The wound healing time and the hospitalization time of the observation group patients were significantly lower than those of the control group patients,the incidence of complications in the observation group was significantly lower than that in the control group,patients satisfaction in the observation group was significantly higher than that of patients in the control group,with significant difference（P0.05）.Before treatment,the anxiety and depression scale score of two groups were not statistically significant（P0.05 ）, and the observation group score after treatment was significantly improved than the control group（P0.05 ）. Conclusion good preoperative and postoperative care is the key to successful operation.