手术护理路径配合模式在小儿腹腔镜疝囊高位结扎术中的应用

Application of the surgical care pathway coordination model for pediatric laparoscopic hernia sac high ligation procedure

目的探讨手术护理路径配合模式在小儿腹腔镜疝囊高位结扎术麻醉后监护室中的应用。方法选择安徽省亳州市人民医院2019年6月至2021年8月择期行腹腔镜疝囊高位结扎患儿80例,采用随机数字表法将患儿分为A组和B组,每组各40例。A组实施常规护理,B组实施手术护理路径配合模式。比较2组手术耗时、患儿苏醒期躁动评分、患儿术后的身体各项指标恢复情况和患儿家属护理满意度。结果B组患儿进入手术室-手术开始耗时、切皮-缝皮结束耗时及贴敷料膜-出手术室耗时显著低于人组(P<0.05);B组患儿入监护室即刻,10、20、30 min躁动评分均显著低于A组(P<0.05);B组患儿排气时间、排便时间以及住院时间均显著低于A组(P<0.05);B组患儿家属护理满意度显著高于人组(P<0.05)。结论在小儿腹腔镜疝囊高位结扎手术中应用手术护理路径配合模式,能够缩短手术耗时,显著降低患儿麻醉恢复期躁动,护理满意度高。

Objective To explore the application of the surgical care pathway coordination model to pediatric laparoscopic hernia sac high ligation.Methods Eighty children undergoing elective laparoscopic hernia sac high ligation from June 2019 to August 2021 in Bozhou People's Hospital in Anhui Province were selected,and the children were divided into group A and group B using the randomized number table method,with 40 cases in each group,and group A implemented conventional care while group B implemented the surgical care pathway coordination model.The time spent on surgery,the agitation scores of the children during the awakening period,the recovery of the children's physical indicators after surgery,and the satisfaction of the children's families with the care were compared between the two groups.Results The time taken for the children in group B to enter the operating room and start the operation,the time taken to cut the skin and finish the suture,and the time taken to apply the dressing film and leave the operating room were significantly lower than those in group A(P<0.05);the agitation scores of the children in group B were significantly lower than those in group A immediately after admission to the monitoring room,at 10,20,and 30 minutes(P<0.05);the time taken for the children in group B to The time to deflation,time to defecation and length of hospital stay were significantly lower in group B than in group A(P<0.05);the satisfaction of family members of children in group B was significantly higher than in group A(P<0.05).Conclusion The application of the surgical care pathway in pediatric laparoscopic hernia repair surgery can shorten the operation time,significantly reduce the agitation of children during recovery from anesthesia,and have high nursing satisfaction,which is worthy of clinical promotion.