责任制护理在腹股沟疝Lichtenstein术中的应用效果分析  

Analysis of the application effect of responsibility nursing in Lichtenstein operation of inguinal hernia

作　　者：夏桃先 黄诚[2] 史红玲 Xia Taoxian;Huang Cheng;Shi Hongling(Operating room,Affiliated Hospital of Wanxi Health Vocational College(Lu'an Second People's Hospital),Lu'an 237000,Anhui,China;Department of Thyroid Breast Surgery,Affiliated Hospital of Wanxi Health Vocational College(Lu'an Second People's Hospital),Lu'an 237000,Anhui,China)

机构地区：[1]皖西卫生职业学院附属医院(六安市第二人民医院)手术室,安徽237000 [2]皖西卫生职业学院附属医院(六安市第二人民医院)甲乳外科,安徽237000

出　　处：《中华疝和腹壁外科杂志（电子版）》2023年第2期227-232,共6页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：安徽省教育厅高校自然科学研究重点项目(KJ2021A1362)

摘　　要：目的分析责任制护理干预在腹股沟疝Lichtenstein术中的应用效果。方法选取皖西卫生职业学院附属医院2018年1月至2021年1月收治的腹股沟疝患者120例进行前瞻性研究,按随机数字表法分为对照组(60例)和观察组(60例)。对照组接受围手术期传统护理,观察组接受责任制护理干预,2组均干预至出院。观察2组手术情况与术后恢复指标,比较2组入室时、麻醉前应激指标及护理前、出院时舒适度与心理状态,出院时护理满意度及住院期间并发症发生率。结果观察组手术、麻醉苏醒、意识恢复及住院时间均短于对照组(P<0.05)。麻醉前,2组血氧饱和度(SpO_(2))低于入室时,而观察组高于对照组(均P<0.05);2组心率、收缩压、平均动脉压、舒张压高于入室时,而观察组低于对照组(均P<0.05)。出院时,2组Kolcaba舒适状况量表评分高于护理前,观察组高于对照组;2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于护理前,观察组低于对照组(P<0.05)。出院时,观察组护理满意率为95.00%,高于对照组的83.33%(P<0.05);住院期间,观察组并发症发生率为3.33%,低于对照组的13.33%(P<0.05)。结论责任制护理干预在腹股沟疝Lichtenstein术中应用效果显著,可改善患者应激反应、舒适度与心理状态,降低其并发症发生率,促进术后恢复,提高患者护理满意度。Objective To analyze the application effect of responsibility nursing intervention in Lichtenstein operation of inguinal hernia.Methods Data of 120 patients with inguinal hernia admitted to the Affiliated Hospital of Wanxi Health Vocational College from January 2018 to January 2021 were selected for prospective study.Patients were divided into the control group(60 cases)and the observation group(60 cases)according to random number table method.The control group received traditional nursing during perioperative period,while the observation group received responsibility nursing intervention.Both groups received intervention until discharge.The operation conditions and postoperative recovery indexes of the two groups were observed.The stress indexes at the time of entering the room and before anesthesia,comfort level and psychological state before nursing and at discharge,nursing satisfaction at discharge,and incidence of complications during hospitalization were compared between the two groups.Results The duration of operation,anesthesia recovery,consciousness recovery and hospitalization time in the observation group were shorter than those in the control group(P<0.05).Before anesthesia,the blood oxygen saturation(SpO_(2))in the two groups was lower than that at the time of entering the room,and was higher in the observation group than in the control group(P<0.05).Heart rate(HR),systolic blood pressure(SBP),mean arterial blood pressure(MAP)and diastolic blood pressure(DBP)in the two groups were higher before anesthesia than those in the room,while those in the observation group were lower than those in the control group(P<0.05).At discharge,the scores of Kolcaba Comfort Scale in both groups were higher than those before nursing,and those in observation group were higher than those in control group.The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before nursing,while those in the observation group were lower than those in the control group(P<0.

关 键 词：疝 腹股沟 疝修补术 责任制护理 应激 心理状态 

分 类 号：R656.21[医药卫生—外科学]