改进后临床护理路径在腹腔镜腹股沟疝修补术中的应用

Application of improved clinical nursing approach in laparoscopic inguinal hernia repair

目的探讨改进后临床护理路径在腹腔镜腹股沟疝修补术中的应用。方法选择2020年6月至2021年5月于安庆市第一人民医院收治的72例拟行腹腔镜疝修补术的腹股沟疝患者作为研究对象,按照护理方式不同分为2组,每组患者36例。对照组采用改进前临床护理路径,试验组采用改进后临床护理路径。评估2组患者术后的疼痛程度、生活质量,对比2组患者的首次肛门排气时间、下床活动时间、住院时间,分析2组患者的护理满意度、并发症发生率。结果术后3、6 h,试验组患者的疼痛视觉模拟评分(VAS)评分明显低于对照组(P<0.05);术后12 h,2组患者的VAS评分无统计学差异(P>0.05);试验组患者的下床活动时间、肛门排气时间、住院时间均明显低于对照组,总体健康、生理功能、生理职能、躯体角色评分均明显高于对照组(P<0.05);试验组患者的护理满意度(97.22%)明显高于对照组(83.33%),并发症发生率(8.33%)明显低于对照组(30.56%),差异均有统计学意义(P<0.05)。结论改进后临床护理路径可有效缓解腹股沟疝患者行腹腔镜疝修补术后的疼痛,促进患者术后康复,并提高护理满意度,减少并发症。

Objective To explore the application of an improved clinical nursing approach in laparoscopic inguinal hernia repair.Methods 72 patients with inguinal hernia who planned to undergo laparoscopic hernia repair in our department of Anqing First People's Hospital from June 2020 to May 2021 were selected as the research objects,The patients were divided into two groups on average.The control group(36 cases)adopted the improved clinical nursing path,and the experimental group(36 cases)adopted the improved clinical nursing path.The postoperative pain degree and quality of life of patients in the two groups were evaluated,the time of first anal exhaust,the time of getting out of bed and the length of hospital stay of patients in the two groups were compared,and the nursing satisfaction and complication rate of patients in the two groups were analyzed.Results The VAS score of experimental group was significantly lower than that of the control group at 3 and 6 hours after surgery(P<0.05).12 hours after surgery,there was no significant difference in VAS score between the two groups(P>0.05).The activity time of getting out of bed,the time of anal exhaust and the length of hospital stay of the experimental group were significantly lower than those of the control group,and the overall health,physiological function,physiological function and body role scores of the experimental group were significantly higher than those of the control group(P<0.05).The nursing satisfaction of the experimental group(97.22%)was significantly higher than that of the control group(83.33%),and the complication rate(8.33%)was significantly lower than that in the control group(30.56%;P<0.05).Conclusion The improved clinical nursing path can effectively relieve the pain of patients with inguinal hernia after laparoscopic hernia repair,promote patients'postoperative recovery,improve nursing satisfaction,and reduce complications.