快速康复护理在高龄腹股沟疝Lichtenstein手术围手术期的应用  

Application of rapid rehabilitation nursing in elderly patients with inguinal hernia during perioperative period of Lichtenstein surgery

作　　者：王艳丽 Wang Yanli(The First Ward of General Surgery Department,Linquan County People's Hospital,Fuyang 236400,Anhui Province,China)

机构地区：[1]临泉县人民医院普外一病区,安徽阜阳236400

出　　处：《中华疝和腹壁外科杂志（电子版）》2023年第3期350-353,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨快速康复护理在高龄腹股沟疝患者Lichtenstein手术围手术期中的应用价值。方法回顾性分析2018年2月至2019年12月,临泉县人民医院收治的50例行Lichtenstein手术的高龄腹股沟疝患者,依护理方法分为观察组和对照组各25例。观察组采取快速康复护理模式,对照组采取常规护理模式,比较2组术后恢复相关指标的情况以及2组的术后护理满意度。结果观察组术后恢复各项指标,包括术后肠鸣音恢复时间、肛门排气时间、下床活动时间及住院时间,均明显优于对照组(P<0.05)。观察组护理满意度为100.00%,明显高于对照组的84.00%,差异有统计学意义(P<0.05)。结论快速康复护理在治疗高龄腹股沟疝患者围手术期护理中所发挥的价值显著,可促进患者术后肠道功能的早期恢复,大幅缩短住院时间,提高患者对护理工作的满意度。Objective To explore the application value of fast track recovery care in the perioperative period of Lichtenstein surgery for elderly patients with inguinal hernia.Methods Fifty cases of elderly patients admitted to Linquan County People's Hospital for Lichtenstein surgery between February 2018 and December 2019 were retrospectively analyzed.According to the nursing methods,were divided into an observation group and a control group,with 25 cases in each group.The observation group received rapid rehabilitation care.The control group received conventional care.The indicators of postoperative recovery and postoperative nursing satisfaction between the two groups were compared.Results The indicators about postoperative recovery,including the recovery time of bowel sounds,postoperative anal venting time,postoperative bed activity time,and postoperative hospitalization time,in the observation group were significantly better than those in the control group(P<0.05).In terms of postoperative nursing satisfaction,the nursing satisfaction of patients in the observation group was 100.00%,which was significantly higher than 84.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Rapid rehabilitation nursing plays a significant role in the perioperative nursing of elderly patients with inguinal hernia,which can promote the early postoperative intestinal function recovery of patients,shorten the length of hospital stay,and improve patients'satisfaction with nursing work.

关 键 词：快速康复护理 疝 腹股沟 疝修补术 高龄 围手术期 

分 类 号：R656.21[医药卫生—外科学]