综合性优质护理对老年腹股沟疝患者干预效果分析

Analysis of intervention effect in elderly patients with inguinal hernia using comprehensive high-quality nursing

目的探究综合性优质护理对老年腹股沟疝患者的临床护理效果。方法选取2021年3月至2023年3月中国人民解放军总医院第二医学中心收治的86例老年腹股沟疝患者,以随机数表法分为对照组(n=43)与研究组(n=43),给予对照组常规护理,研究组则在其基础上予以综合性优质护理。比较2组患者术后康复情况、焦虑量表(SAS)评分、抑郁量表(SDS)评分、综合舒适状况量表(GCQ)评分、护理满意度,并统计2组并发症发生情况。结果研究组患者下床活动、排气及住院时间均少于对照组(P<0.05)。术前1 d、出院时研究组患者SAS评分与SDS评分均较对照组低(P<0.05)。研究组患者的环境、生理、心理及社会文化等各项GCQ评分均较对照组高(P<0.05);研究组患者对护理内容与护理责任心的满意度均较对照组高(P<0.05)。研究组患者并发症总发生率为2.33%,低于对照组的18.60%,差异有统计学意义(P<0.05)。结论综合性优质护理可以促进老年腹股沟疝患者术后康复,改善患者心理状态,有助于提高患者舒适度与满意度,降低术后并发症发生风险。

Objective To investigate the clinical nursing effect of comprehensive high-quality nursing in elderly patients with inguinal hernia.Methods A total of 86 elderly patients with inguinal hernia admitted to the Second Medical Center of Chinese People's Liberation Army General Hospital from March 2021 to March 2023 were selected and randomly divided into the study group(n=43)and the control group(n=43).The control group was given routine nursing,while the study group was given comprehensive high-quality nursing on this basis.The two groups were compared on postoperative rehabilitation,the Self-Rating Anxiety Scale(SAS)score,the Self-Rating Depression Scale(SDS)score,General Comfort Questionnaire(GCQ)score and nursing satisfaction.The incidence rates of complications in both groups were calculated.Results The time to get out of bed,exhaust time and length of hospital stay in the study group were shorter than those in the control group(P<0.05).The SAS scores and SDS scores of the study group were lower than those of the control group on the day before surgery and at discharge(P<0.05).The GCQ scores of the study group in terms of environment,physiology,psychology and social culture were higher than those of the control group(P<0.05).Compared with the control group,patients in the study group were more satisfied with nursing content and nursing responsibility(P<0.05).The total incidence of complications in the study group was 2.33%,lower than 18.60%in the control group,the difference was statistically significant(P<0.05).Conclusion Comprehensive high-quality nursing can promote postoperative rehabilitation of elderly patients with inguinal hernia,improve their psychological states,comfort level and satisfaction,and reduce the risk of postoperative complications.