腹股沟嵌顿疝患者急诊无张力疝修补术后护理体会

Postoperative nursing experience of patients with incarcerated inguinal hernia undergoing emergency tension-free hernia repair

目的探讨腹股沟嵌顿疝患者急诊无张力疝修补术的术后护理体会。方法选取2017年6月至2018年6月,万宁市人民医院收治的腹股沟嵌顿疝患者84例,均采用急诊无张力疝修补术,并按随机数字表法分为观察组及对照组,每组42例。观察组从患者心理、疼痛、下床活动、饮食、并发症、出院指导方面进行综合护理,对照组给予常规护理,2组术后随访6个月至1年。比较2组手术临床指标,入院及出院时焦虑自评量表(self-rating anxiety scale,SAS),抑郁自评量表(self-rating depression scale,SDS)及视觉模拟评分(visual analogue scale,VAS),统计2组术后并发症发生情况。结果观察组术后进食时间、下床活动时间、住院时间显著短于对照组(P<0.05)。与入院时比,出院时2组SAS、SDS、VAS评分明显降低,且观察组明显低于对照组(P<0.05)。观察组并发症总发生率显著低于对照组(P<0.05),2组复发率差异无统计学意义(P>0.05)。结论腹股沟嵌顿疝患者急诊无张力修补术后给予针对性护理,可缩短患者住院时间,降低其术后焦虑及抑郁情绪、疼痛感、并发症发生率,促进患者康复,具有较好的临床应用价值。

Objective To explore the postoperative nursing experience of patients with incarcerated inguinal hernia undergoing emergency tension-free hernia repair.Methods 84 patients with incarcerated inguinal hernia admitted to Wanning People’s Hospital from June 2017 to June 2018 were selected,and they were divided into the observation group and the control group by random number table methods,with 42 cases in each group.All patients underwent tension-free hernia repair.The observation group was given comprehensive nursing from the aspects of patients’psychology,pain,off-bed activities,diet,complications and discharge guidance,and the control group received routine nursing.The two groups were followed up for 1 year.The clinical indicators of the two groups were compared,the SAS,SDS and VAS scores of the two groups at hospital admission and discharge were compared,and the postoperative complications occurrence rate of the two groups were counted.Results The time of eating,off-bed activities and hospitalization in the observation group were significantly shorter than those in the control group(P<0.05).Compared with hospital admission,the SAS,SDS and VAS scores of the two groups significantly decreased at hospital discharge,and the observation group was significantly lower than the control group(P<0.05).The complication rate of the observation group were significantly lower than those of the control group(P<0.05),there was no significant difference in recurrence rate between the two groups(P>0.05).Conclusion The targeted nursing for patients with incarcerated inguinal hernia after emergency tension-free repair can shorten the hospitalization time,reduce postoperative anxiety and depression,pain,complication incidence rate,and promote the recovery of patients,which has good clinical application value.