个体化护理对腹股沟疝无张力修补术后疼痛及舒适度的影响

Influence of individualized nursing on postoperative pain and comfort in patients with tension-free inguinal hernia repair

目的探讨个体化护理对腹股沟疝无张力修补术后患者疼痛及舒适度的影响。方法采用便利抽样法,选择庐江县中医院在2021年6月至2023年6月收治的90例腹股沟疝无张力修补术患者参与研究。采用抽签法随机分为对照组和观察组,各45例。对照组给予常规护理模式,观察组采用个体化护理。比较2组患者术后疼痛情况,干预前后心理弹性、疾病应对方式、舒适度及护理满意度差异。结果2组患者术后12、24和48 h疼痛评分随时间延长而逐渐降低,组内不同时间点比较差异有统计学意义(P<0.05),且观察组各时间段疼痛评分均显著低于对照组(P<0.05);干预后,2组心理弹性量表(CD-RISC)评分(坚韧、乐观及自强)均较干预前升高(P<0.05),且观察组干预后CD-RISC评分显著高于对照组(P<0.05);干预后,2组积极应对方式评分均较干预前升高(P<0.05),消极应对方式均较干预前降低(P<0.05),且观察组干预后各评分与对照组差异有统计学意义(P<0.05);观察组干预后舒适度评分(环境、心理、生理和社会文化舒适度)均显著高于对照组(P<0.05);观察组护理满意度评分(护理技术、护患沟通、病房环境和健康教育)均显著高于对照组(P<0.05)。结论将个体化护理应用于腹股沟疝无张力修补术患者,能有效缓解术后疼痛度,改善心理弹性,提高舒适度和护理满意度。

Objective To explore the influence of individualized nursing on postoperative pain and comfort in patients with tension-free inguinal hernia repair.Methods Using the convenient sampling method,90 patients with tension-free inguinal hernia repair in Lujiang County Hospital of Traditional Chinese Medicine from June 2021 to June 2023 were selected to participate in the study.They were randomly divided into 45 cases in control group and 45 cases in observation group.The control group was given conventional nursing mode,while the observation group was given individualized nursing.Postoperative pain,and psychological resilience,disease coping style,comfort and nursing satisfaction before and after intervention were compared between the two groups.Results The pain score in the two groups at 12,24 and 48 h after surgery was gradually decreased with the extension of time,and the difference at different time points within the groups was statistically significant(P<0.05),and the pain score in observation group at each time point was significantly lower than that in control group(P<0.05).After intervention,the CD-RISC scores(tenacity,optimism and self-improvement)in both groups were higher than those before intervention(P<0.05),and the CD-RISC scores in observation group after intervention were significantly higher than those in control group(P<0.05).After intervention,the score of positive coping style in both groups was higher(P<0.05),and the score of negative coping style was lower than before intervention(P<0.05),and there were significant differences in the scores between observation group and control group after intervention(P<0.05).The comfort scores(environment,psychology,physiology and social-culture)in observation group were significantly higher compared to control group after intervention(P<0.05).Nursing satisfaction scores(nursing technique,nurse-patient communication,ward environment and health education)were significantly higher in observation group than those in control group(P<0.05).Conclusion The application of individualized nursing in patients with tension-free inguinal hernia repair can effectively relieve postoperative pain,improve psychological resilience,and enhance comfort and nursing satisfaction.