双环节协同护理模式对老年腹股沟疝术后的干预效果

Study on the intervention effect of double link collaborative nursing mode on elderly inguinal hernia after surgery

目的研究双环节协同护理模式对老年腹股沟疝患者术后的干预效果。方法选择2019年1月至2020年1月皖南医学院弋矶山医院收治的90例老年腹股沟疝患者作为研究对象,根据护理方法的不同分为2组,每组患者45例。对照组采用常规护理模式,观察组采用双环节协同护理模式。对比2组患者的临床疗效,记录2组患者的胃肠功能恢复情况,分析2组患者护理干预前后的不良心理状态,调查2组患者的护理满意度并记录2组患者的并发症发生率。结果观察组的肠鸣音恢复时间、首次排气时间、首次排便时间、首次进食时间、焦虑及抑郁评分均低于对照组(P<0.05);观察组的总有效率(95.56%)高于对照组(77.78%),护理总满意度(97.78%)高于对照组(80.00%),差异均有统计学意义(P<0.05);观察组的并发症总发生率(6.67%)稍低于对照组(11.11%),差异无统计学意义(P>0.05)。结论双环节协同护理模式能明显改善老年疝手术后患者的胃肠功能,调动患者的积极性,提高护理满意度。

Objective To study the intervention effect of double link collaborative nursing mode on elderly inguinal hernia after surgery.Methods A total of 90 senior patients with inguinal hernia who were hospitalized to Wannan Medical College's Yijishan Hospital between January 2019 and January 2020 were chosen as research participants and separated into two groups,each with 45 patients,based on different nursing practices.Routine nursing mode was used in the control group,while two-link collaborative nursing mode was used in the observation group.The clinical efficacy of the two groups of patients was compared,the recovery of gastrointestinal function of the two groups of patients was recorded,the adverse psychological state of the two groups of patients was analyzed before and after nursing intervention,nursing satisfaction of the two groups of patients was investigated,and the incidence of complications was recorded.Results After intervention,the recovery time of bowel sounds,first exhaust time,first defecation time,first feeding time,anxiety and depression scores in the observation group were significantly lower than those in the control group(P<0.05).The total effective rate of observation group(95.56%)was significantly higher than that of control group(77.78%),the total nursing satisfaction rate(97.78%)was significantly higher than that of control group(80.00%)(P<0.05).The total incidence of complications in the observation group(6.67%)was slightly lower than that in the control group(11.11%)(P>0.05).Conclusion The double-link collaborative nursing model can obviously improve the gastrointestinal function of elderly patients after hernia surgery,mobilize the enthusiasm of patients,improve nursing satisfaction,and can be popularized in clinical application.