循证护理模式对老年疝气手术患者术后并发症及不良事件的影响

Effect of Evidence-based Nursing Model on Postoperative Complications and Adverse Events in Elderly Patients Undergoing Hernia Operation

目的探究在老年患者疝气手术中采用循证护理干预对并发症及不良事件的影响。方法将我院2020年10月至2021年10月收治的行疝气手术的106例老年患者作为本次研究的研究对象。采用随机数字表法等分为对照组和观察组,每组53例。对照组给予常规外科护理干预,观察组常规外科护理的基础之上给予循证护理干预,比较两组患者术中和术后的临床资料、并发症发生情况、责任护士不良事件发生情况及追踪患者出院后3个月的恢复情况。结果两组患者入院时的一般临床指标差异无统计学意义(P>0.05)。两组患者在手术时间、术中出血量、术后出血发生率、创口清洁不及时发生率、复发率上均无统计差异(P>0.05);但观察组患者的术后离床时间、术后排气时间及住院总时长均短于对照组患者,术后发热、恶心呕吐、阴囊血肿、压疮及肺部感染的发生率均低于对照组,责任护士不良事件发生情况总体发生率上均低于对照组,切口恢复良好情况、遵医嘱服药和定期复查情况均优于对照组(P<0.05)。结论循证护理可降低老年疝气患者手术后的并发症发生率及不良事件发生率,提高患者的护理满意度。

Objective To explore the effect of evidence-based nursing intervention on complications and adverse events in elderly patients undergoing hernia surgery.Methods One hundred and six elderly patients who underwent hernia surgery in our hospital from October 2020 to October 2021 were included in this study.The patients were divided into control group and observation group by random number method,with 53 cases in each group.The control group was given routine surgical nursing intervention and the observation group was given evidence-based nursing intervention on the basis of routine surgical nursing,the postoperative recovery,complications,adverse events and recovery after discharge were compared between the two groups.Results There was no significant difference in general clinical indicators between the two groups at admission(P>0.05).There was no statistical difference between the two groups in the operation time,intraoperative blood loss,postoperative bleeding rate,wound cleaning rate and recurrence rate(P>0.05).However,the postoperative bed time,postoperative exhaust time and total hospitalization time in the observation group were shorter than those in the control group.The incidence of postoperative fever,nausea and vomiting,scrotal hematoma,pressure sores and pulmonary infection in the observation group were lower than those in the control group.The overall incidence of adverse events in the responsible nurses was lower than that in the control group.The good recovery of incision,compliance with medication and regular review were better than those in the control group(P<0.05).Conclusion Evidence-based nursing can reduce the incidence of postoperative complications and adverse events in elderly patients with hernia,and improve patient satisfaction.