舒适护理在腹腔镜疝修补术中的临床应用

Clinical application of comfortable nursing in laparoscopic hernia repair

目的探讨舒适护理在腹腔镜疝修补术治疗腹股沟疝患者中的应用效果。方法选取2019年1月至2020年5月于南京市溧水区人民医院普外科就诊的96例行腹腔镜疝修补术治疗的患者为研究对象。按照随机数表法,将患者分为对照组和观察组,每组各48例。对照组采用常规护理,观察组在常规护理基础上加用舒适护理。观察比较2组患者术后疼痛持续时间、伤口愈合时间、住院时间和手术前后心率、血压、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟量表(VAS)评分以及术后并发症、护理满意度、护理舒适度。结果与对照组相比,观察组患者术后疼痛持续时间、伤口愈合时间和住院时间均明显缩短(P<0.05)。与术前相比,2组患者术后心率、收缩压和舒张压无明显变化(P>0.05),但麻醉前心率、收缩压、舒张压均有明显波动,且观察组的变化明显小于对照组(P<0.05)。2组患者麻醉前SAS评分和SDS评分较术前明显升高,而术后7dSAS评分和SDS评分较术前明显降低,且观察组变化更明显(P<0.05)。2组患者术前VAS评分无差异(P>0.05),但术后1、3和7 d的VAS评分较术前明显降低,且观察组术后1和3d的VAS评分明显低于对照组(P<0.05)。与对照组相比,观察组并发症总发生率明显降低,而护理满意度和舒适度均明显升高(P<0.05)。结论对行腹腔镜疝修补术的腹股沟疝患者采用舒适护理进行干预有较好的护理效果,可缩短患者住院时间,改善不良情绪,提高满意度。

Objective To explore the application effect of comfort nursing in the treatment of inguinal hernia patients who were undergoing laparoscopic hernia repair.Methods From January 2019 to May 2020,96 patients who had laparoscopic hernia repair were selected in department of general surgery,nanjinglishui district people's Hospital as the research objects,they were randomly divided into control group(48 cases)and comfort group(48 cases).The control group was given routine nursing,while the comfort group was given comfort nursing on the basis of routine nursing.The postoperative pain duration,wound healing time,hospital stay,heart rate,blood pressure,SAS score,SDS score,VAS score,postoperative complications,nursing satisfaction and nursing comfort were observed and compared between the two groups.Results Compared with the control group,the postoperative pain duration,wound healing time and hospital stay of comfort group were significantly shorter(P<0.05).Compared with the pre-operation,there were no significant changes in heart rate,systolic blood pressure and diastolic blood pressure in the two groups after the operation(P>0.05),but there were significant fluctuations in heart rate,systolic blood pressure and diastolic blood pressure before anesthesia,and the changes in comfort group were significantly less than those in reference group(P<0.05).The SAS and SDS scores of the two groups before anesthesia were significantly higher than those before the operation,while the SAS score and SDS score of the two groups at 7 days after operation were significantly lower than those before operation,and the change of the comfort group was more obvious(P<0.05).There was no significant difference in VAS scores between the two groups before operation (P>0.05), but the VAS scores on 1 d, 3 d and 7 d after operation were significantly lower than those before operation, and the VAS scores on 1 d and 3 d after operation in the comfort group were significantly lower than those in the control group (P<0.05). Compared with the control group, the total incidence of complications in the comfort group was significantly lower, while the nursing satisfaction and comfort were significantly higher (P<0.05). Conclusion Comfortable nursing intervention for inguinal hernia patients undergoing laparoscopic hernia repair has good nursing effect, which can shorten the hospitalization time, improve the bad mood and improve the satisfaction.