医护一体化工作模式对腹股沟斜疝腹腔镜围术期患儿遵医行为及并发症的影响

Influence of the Integrated Medical-Care Model on Adherence Behavior and Postoperative Complications in Pediatric Patients Undergoing Laparoscopic Inguinal Hernia Surgery

目的:分析腹股沟疝腹腔镜手术患儿疾病干预中医护一体化工作模式的应用价值。方法:将120例腹股沟疝患儿按照数字表法随机分为对照组(n=60,常规护理干预)和观察组(n=60,医护一体化工作模式干预),以遵医嘱行为、并发症率、术前焦虑情绪评分、和手术相关指标等为评价指标,对比两组的护理效果。结果:与对照组比较,观察组患者遵医嘱行为好、并发症率低、护理满意度高(P<0.05);两组患儿术前焦虑情绪评分无显著差异(P>0.05),交接时和麻醉诱导时观察组焦虑情绪评分低于对照组(P<0.05);观察组复苏时间、肠道排气时间和术后住院时间比对照组短(P<0.05)。结论:在腹股沟斜疝腹腔镜围术期患儿疾病干预中利用医护一体化工作模式,能够显著改善患儿的遵医嘱行为,降低并发症率,改善患儿不良心理状态,促进患儿疾病恢复。

Objective:To evaluate the application value of an integrated nurse-physician work model in disease intervention for pediatric patients undergoing laparoscopic inguinal hernia repair.Methods:A total of 120 pediatric patients with inguinal hernias were randomly allocated into either a control group(n=60,receiving conventional nursing interventions)or an observation group(n=60,managed under an integrated nurse-physician work model)using a random number table method.The assessment criteria included adherence to medical instructions,complication rates,preoperative anxiety scores,and surgery-related indicators,with comparisons made between the two groups regarding nursing outcomes.Results:Compared with the control group,the observation group demonstrated better adherence to medical instructions,lower complication rates,and higher nursing satisfaction(P<0.05).No significant difference was observed in preoperative anxiety scores between the two groups(P>0.05);however,at handover and anesthesia induction,anxiety scores were lower in the observation group(P<0.05).Additionally,the observation group had shorter recovery times,times to bowel function recovery,and postoperative hospital stays than the control group(P<0.05).Conclusion:Implementing an integrated nurse-physician work model in the perioperative care of pediatric patients with inguinal hernias undergoing laparoscopy significantly improves adherence to medical instructions,reduces complication rates,alleviates adverse psychological states,and facilitates disease recovery in these patients.