综合护理与心理护理干预对小儿腹股沟疝行腹腔镜疝囊高位结扎术效果观察

Effect of comprehensive nursing and psychological care intervention on high ligation of laparoscopic hernia sac in pediatric inguinal hernia

目的探讨综合护理与心理护理干预在小儿腹股沟疝行腹腔镜疝囊高位结扎术治疗过程中的应用。方法选取2019年8月至2021年1月于西安市儿童医院外科及儿科行小儿腹股沟疝腹腔镜疝囊高位结扎术患儿104例,随机分为综合护理干预组(Z组)和常规组(C组),每组患儿52例。Z组给予综合护理与心理护理干预,C组给予常规护理,比较2组患儿疼痛和恐惧改善情况、心境状态变化情况、应激及不良反应情况。结果Z组患儿疼痛、恐惧、心境状态改善情况均优于C组(P<0.05);Z组患儿应激反应水平提高幅度小,应激情况优于C组(P<0.05);2组患儿入院时、出院时、末次随访三个时间段满意度逐渐升高,Z组患儿满意度评分高于C组患儿(P<0.05);2组患儿均出现不良反应,差异无统计学意义(P〉0.05)。结论综合护理与心理护理干预患儿效果明显,可有效改善患儿疼痛和恐惧情况,改善心境状态,缓解应激反应,值得临床推广。

Objective To explore the effect of comprehensive nursing and psychological nursing intervention in the treatment of laparoscopic high ligation of the laparoscopic hernia sac in pediatric inguinal hernia.Methods A total of 104 children with laparoscopic high ligation of inguinal hernia in surgical and pediatric children from August 2019 to January 2,2021,were randomly divided into 52 patients,comprehensive care intervention(Z,n=52)and routine(C,n=52).The Z group received comprehensive care and psychological care intervention,and the C group received routine care to compare pain and fear improvement,changes in mood status,stress response,and adverse reactions in the two groups.Results The improvement of pain,fear,and mood state of children in group Z was better than that of children in group C(P<0.05);children in group Z had a small increase in the level of stress response,and the stress situation was better than that of children in group C(P<0.05);the satisfaction of the children at admission,discharge and last follow-up gradually increased,and the satisfaction score of the children in group Z was higher than that of children in group C(P<0.05);adverse reactions occurred in both groups,and the difference was not statistically significant(P>0.05).Conclusion The effect of comprehensive nursing and psychological care intervention on patients is obvious,which can effectively improve patient pain and fear,improve mood state and relieve stress response,which deserves clinical promotion.