循证护理对腹股沟斜疝行无张力疝修补术患者的效果

Effectiveness of Evidence-based Nursing in Tension-free Hernioplasty for Indirect Inguinal Hernia

目的观察循证护理对腹股沟斜疝行无张力疝修补术患者的效果。方法我院2018年5月至2019年5月收治的74例腹股沟斜疝患者为本次研究对象,在行无张力疝修补术过程中按照是否行循证护理将所有患者分为对照组(37例,未行循证护理)与试验组(37例,行循证护理),比较两组患者护理干预效果。结果试验组患者术后肠鸣音恢复时间、首次下床活动时间、平均住院时间、平均住院费用等临床资料以及术后3 d各项IgG、CD_(3)^(+)、CD_(4)^(+)/CD_(8)^(+)等免疫指标相关参数数值均优于对照组(P<0.05)。试验组患者术后并发症发生率(8.11%)低于对照组(P<0.05)。结论腹股沟斜疝行无张力疝修补术患者循证护理干预效果明显优于常规护理干预效果。

Objective To observe the effect of evidence-based nursing on patients with indirect inguinal hernia undergoing tension-free hernioplasty.Methods Seventy-four cases of indirect inguinal hernia were treated in our hospital from May 2018 to May 2019.Patients undergoing tension-free hernioplasty were divided into control group(37 cases,patients without evidence-based nursing)and experimental group(37 cases,patients with evidence-based nursing).The effect of nursing intervention was compared between the two groups.Results Clinical data,such as postoperative intestinal sound recovery time,first implantation activity time,average hospitalization time and average hospitalization cost,and the parameters related to IgG,CD_(3)^(+),CD_(4)^(+)/CD_(8)^(+) were better than the control group(P<0.05).The incidence of postoperative complications in the experimental group was lower(8.11%)than that in the control group(P<0.05).Conclusion The effect of evidence-based nursing intervention for indirect inguinal hernia patients undergoing tension-free hernia repair is better than that of routine nursing intervention.