延续性护理干预在老年腹股沟疝日间手术中的应用

Application of continuous nursing intervention in elderly inguinal hernia patients undergoing day operation

目的探讨将家属同步教育与延续性护理干预相结合的干预方式在老年腹股沟疝日间手术患者护理的应用效果。方法选取2017年8月至2018年8月湖北省中医院收治的老年腹股沟疝日间手术患者120例,并随机分为观察组和对照组,每组60例。对照组患者实施常规出院护理指导和随访,观察组患者实施家属同步健康教育的延续性护理干预。观察2组患者康复效果和满意度评价。结果观察组在合理用药、日活动不少于2000步、了解日常生活注意事项、便秘、尿潴留、留置导尿、切口红肿、合理用药、阴囊护理注意事项、切口异物感、复诊时间和再次就诊依从性等指标显著优于对照组(均P<0.05)。观察组沟通和情感支持、健康宣教2方面的满意度评分均显著高于对照组(均P<0.05)。结论将家属同步健康教育运用于老年腹股沟疝日间手术的延续性护理中能够有效改善康复效果,并且提高护理满意度。

Objective To explore the application effect of the intervention method that combines family members'synchronous education and continuous nursing intervention in nursing care of elderly patients with inguinal hernia during daytime surgery.Methods 120 elderly patients with inguinal hernia who underwent day operation in Hubei Provincial Hospital from August 2017 to August 2018 were selected and randomly divided into observation group and control group,with 60 cases in each group.Both groups of patients were given the same nursing method during the hospital treatment and discharged according to the routine nursing guidance.The observation group was given continuous nursing intervention of family members'synchronous health education after discharge,while the control group was given routine follow-up after discharge.Curative effect index and satisfaction score of day surgery rehabilitation evaluation were compared between the two groups.Results The reasonable use of drugs,daily activity ≥2000 steps,awareness of daily life precautions,awareness of nursing method in urinary retention,indwelling catheterization,constipation,incision swelling,scrotal edema,dressing change,scrotum nursing,foreign body sensation in the incision,knowing the time for follow-up visits and re-visiting compliance of the observation group were significantly better than those of the control group(P<0.05).The doctor-patient communication and emotional support,and the health education satisfaction scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion The application of synchronized health education to family members in the continuation care of elderly inguinal hernia day surgery can effectively improve the rehabilitation effect and increase nursing satisfaction.