老年腹股沟疝修补术患者术前访视需求现状调查及其影响因素分析

Investigation on the current status of preoperative visit demand in elderly patients undergoing inguinal herniorhaphy and analysis of influencing factors

目的调查老年腹股沟疝修补术患者术前访视需求现状及其影响因素,为临床制定针对性术前访视方案提供参考。方法采用自制问卷对安徽省庐江县人民医院2020年-2022年收治的80例行开放性腹股沟疝修补术老年患者进行术前访视需求调查,并收集患者临床相关资料,比较不同特征患者术前访视需求情况,利用多元线性回归分析影响患者术前访视需求的影响因素。结果80例老年腹股沟疝修补术患者术前访视需求总分为(127.53±16.37)分,标准化得分为68.94分;需求最高的为“治疗费用”(12.97±0.92)分,标准化得分为86.47分,其次为“心理支持”(12.12±1.71)分,标准化得分为80.80分,得分前三的条目分别为“手术费用”(4.64±0.16)分、“当面口头宣教”(4.26±0.24)分和“告知术后如何康复”(3.97±0.32)分,得分后三的条目分别为“手术体位”(2.36±0.74)分、“手术室内温度”(2.16±0.67)分和“微信或QQ推送”(2.13±0.46)分。不同职业、文化程度、居住地、家庭月收入、医保类型和既往有无大型手术的患者术前访视需求总分比较均具有统计学差异(P<0.05)。多元线性回归分析结果显示,文化程度、居住地是影响老年腹股沟疝修补术患者术前访视需求的独立因素,文化程度高、居住地为城市的患者术前访视需求较高(P<0.05)。结论老年腹股沟疝修补术患者对术前访视的需求较高,尤其对“治疗费用”和“心理支持”最得以关注。文化程度高、居住地为城市的患者术前访视需求更高。

Objective To investigate the current status and influencing factors of preoperative visit demand in elderly patients undergoing inguinal herniorhaphy,and provide reference for making targeted preoperative visit plan.Methods Using a self-made questionnaire,a preoperative visit demand survey was conducted on 80 elderly patients undergoing open inguinal herniorhaphy admitted to People's Hospital of Lujiang County from 2020 to 2022.Their relevant clinical data were collected,and preoperative visit demand of patients with different characteristics was compared.Multivariate linear regression was used to analyze the influencing factors of preoperative visit demand.Results Their total score for preoperative visit demand was(127.53±16.37)points and its standardized score was 68.94 points,respectively.The greatest demand was“treatment costs”(12.97±0.92 points),and its standardized score was 86.47 points.The second was“psychological support”(12.12±1.71scores),and its standardized score was 80.80 points.The top three scoring items were“surgical cost”(4.64±0.16 points),“face-to-face oral education”(4.26±0.24 points),and“informing postoperative rehabilitation”(3.97±0.32 points),respectively.The last three scoring items were“surgical position”(2.36±0.74 points),“operating room temperature”(2.16±0.67 points),and“WeChat or QQ push”(2.13±0.46 points),respectively.There were significant differences in total score of preoperative visit demand among elderly patients with different occupations,education level,places of residence,family monthly income,medical insurance types and history of previous major surgery(P<0.05).The results of multivariate linear regression analysis showed that education level and place of residence were independent influencing factors of preoperative visit demand.The preoperative visit demand was higher in patients with high education level and those living in the city(P<0.05).Conclusion Elderly patients undergoing inguinal herniorhaphy have a high demand for preoperative visit,especially for“treatment cost”and“psychological support”.Patients with high education level and living in city have higher demand for preoperative visit.