个体化护理对减轻小儿疝气围手术期疼痛程度及并发症发生率的影响

Effect of Individualized Nursing on Reducing Perioperative Pain and Incidence of Complications in Children with Hernia

目的 探讨个体化护理对减轻小儿疝气围手术期疼痛程度及并发症发生率的影响。方法 选取2020年1月-12月丰城市人民医院行疝气手术的患儿80例,按照随机数字表法分为疝气A组和疝气B组,每组40例。疝气A组给予常规护理,疝气B组给予个体化护理,比较两组正性情感与负性情感评分、术后疼痛程度、术后下床时间、住院时间、并发症发生情况及患儿家属对围术期护理总体评价。结果 疝气B组正性情感评分高于疝气A组,负性情感评分低于疝气A组(P<0.05);疝气B组术后6、12、24、48 h疼痛程度评分低于疝气A组(P<0.05);疝气B组术后下床时间、住院时间短于疝气A组(P<0.05);疝气B组并发症发生率为5.00%,低于疝气A组的20.00%(P<0.05);疝气B组患儿家属对围术期护理总体评价高于疝气A组(P<0.05)。结论 小儿疝气围手术期护理中应用个体化护理的效果良好,既能够减轻患儿术后疼痛程度,预防多种并发症发生,也能够促进患儿术后早期恢复,且患儿家属对围术期护理总体评价较高。

Objective To explore the effect of individualized nursing on reducing perioperative pain and incidence of complications in children with hernia.Methods A total of 80 children who underwent hernia surgery in Fengcheng People ’s Hospital from January to December 2020 were selected and divided into hernia group A and hernia group B according to the random number table method,with 40 cases in each group.The hernia group A was given routine nursing,and the hernia group B was given individualized nursing.The positive emotion and negative emotion scores,postoperative pain degree,postoperative ambulation time,hospitalization time,complications and the overall evaluation of perioperative nursing by the family members of the two groups were compared.Results The positive emotion score of hernia group B was higher than that of hernia group A,and the negative emotion score was lower than that of hernia group A(P<0.05).The pain scores of hernia group B at 6,12,24 and 48 h after operation were lower than those of hernia group A(P<0.05).The time of getting out of bed and hospitalization in hernia group B were shorter than those in hernia group A(P<0.05).The incidence of complications in hernia group B was 5.00%,which was lower than 20.00% in hernia group A( P<0.05).The overall evaluation of perioperative nursing in the family members of the hernia group B was higher than that of the hernia group A( P <0.05).Conclusion The effect of individualized nursing in perioperative nursing of pediatric hernia is good,which can not only reduce the degree of postoperative pain in children,prevent the occurrence of various complications,but also promote the early recovery of children after operation,and the family members of children have a higher overall evaluation of perioperative nursing.