舒适护理在腹腔镜下小儿腹股沟斜疝手术前后的应用  

Application of comfortable nursing care for children with inguinal hernia before and after laparoscopic surgery

作　　者：郑燕君[1] 郑燕丹[1] 赖志鸿[1] 

机构地区：[1]汕头大学医学院第一附属医院小儿外科,广东汕头515041

出　　处：《中国校医》2013年第6期429-431,共3页Chinese Journal of School Doctor

摘　　要：目的探讨微型腹腔镜下小儿腹股沟斜疝的术前术后舒适护理经验。方法将1 238例行腹腔镜下腹股沟斜疝手术患儿分为观察组782例和对照组456例,对照组应用常规护理,观察组应用舒适护理干预。观察2组患儿心率、血压、心理状态、术后并发症发生率及家长满意度等指标,并进行比较。结果观察组患儿心率、血压、心理状态、术后并发症发生率及家长满意度等指标均优于对照组,差异有统计学意义(P<0.01)。结论采用舒适护理可有效降低患儿不适感及减少小儿腹股沟斜疝腹腔镜手术并发症的发生,有利于患儿的康复。Objective To summarize the experience of application of comfortable nursing care for children with inguinal hernia before and after laparoscopic surgery. Methods A total of 1 238 children with inguinal hernia operated by laparoscopy were divided into an observation group （n = 782） and a control group （n = 456）. The routine nursing care was taken in the control group and the comfortable nursing intervention was adopted in the observation group. The heart rate, blood pressure, mental status of the children, the incidence of postoperative complications, and satisfaction were investigated and compared between the two groups. Results The heart rat, blood pressure, mental status, and satisfaction of the children were better and the incidence of postoperative complications was lower in the observation group than those in the control group （P 〈 0.01 ）. Conclusions The comfortable nursing care applied to the children with inguinal hernia before and after laparoscopic surgery can effectively eliminate the uncomfortableness and decrease the complications. It can promote the rehabilitation of children.

关 键 词：婴儿 儿童 疝 腹股沟 外科手术 腹腔镜检查 护理 

分 类 号：R174[医药卫生—妇幼卫生保健]