体位干预护理在疝手术中对患者术后疼痛与康复的影响  

Influence of postural intervention nursing on postoperative pain and recovery in patients undergoing hernia surgery

作　　者：刘旭伟[1] 杨桂云[1] 付晶超 刘峻伊 王瑞民[1] Liu Xuwei;Yang Guiyun;Fu Jingchao;Liu Junyi;Wang Ruimin(Operating Room the Second Hospital of Jilin University,Changchun 130041,China;Department of Second Medicine,Changchun Sino-Japanese Friendship Hospital,Changchun 130033,China)

机构地区：[1]吉林大学第二医院手术室,长春130041 [2]长春吉林大学中日联谊医院神经内二科,长春130033

出　　处：《中华疝和腹壁外科杂志（电子版）》2019年第6期577-580,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨体位干预护理在疝手术中对患者术后疼痛与康复的影响。方法选取2017年1月至2018年9月,吉林大学第二医院收治的腹股沟疝患者214例,采用随机数字表法将患者分为观察组和对照组,每组107例。2组患者均行腹腔镜下疝修补术,对照组围手术期给予常规护理,观察组在此基础上术后增加体位干预护理。比较2组患者手术相关临床参数、术后腹胀程度、术后非切口处疼痛及并发症发生情况。结果观察组术后肠鸣音恢复时间、术后肛门排气时间及自主下床活动时间分别为(9.66±2.06)h、(10.53±2.48)h、(24.49±5.15)h,与对照组(10.75±2.71)、(13.20±3.31)、(26.90±5.88)比较,差异有统计学意义(t=3.312、6.678、2.911,P=0.001、<0.001、0.004)。术后3 d,观察组腹胀评分为(2.94±1.02)分,明显低于对照组的(6.06±1.84),差异有统计学意义(t=15.341,P<0.001)。观察组术后非切口处疼痛总发生率为14.95%,明显低于对照组28.04%,差异有统计学意义(χ^2=5.428,P=0.020)。结论疝手术后给予针对性的体位干预护理可有效改善患者胃肠功能,缓解术后腹胀程度,降低术后非切口处疼痛及并发症发生风险,促进患者术后恢复。Objective To explore the influence of postural intervention nursing on postoperative pain and recovery in patients undergoing hernia surgery.Methods 214 patients with inguinal hernia admitted to the Second hospital of Jilin University from January 2017 to September 2018 were selected and divided into the experiment group and the control group by random number table method,with 107 cases in each group.Laparoscopic hernia surgery was performed in both groups,the control group received routine nursing during the perioperative period,the experiment group added postural intervention nursing after the operation on this basis.The clinical parameters related to surgery,the degree of postoperative abdominal distension,postoperative non-incisional pain and complications were compared between the two groups.Results Compared with the control group,the recovery time of postoperative bowel sounds[(9.66±2.06)hours vs(10.75±2.71)hours],postoperative anal exhaust time[(10.53±2.48)hours vs(13.20±3.31)hours]and spontaneous ambulation time[(24.49±5.15)hours vs(26.90±5.88)hours]significantly advanced in the experiment group(P<0.05).The abdominal distension score of the experiment group(2.94±1.02)scores was significantly lower than that of the control group(6.06±1.84)scores at the 3rd day after surgery(P<0.05).The incidence of postoperative non-incisional pain of the experiment group(14.95%)was significantly lower than that of the control group(28.04%)(P<0.05).Conclusion Individualized postural intervention nursing after hernia surgery can effectively improve the gastrointestinal function of patients,relieve the degree of postoperative abdominal distension,reduce the risk of the postoperative non-incisional pain and complications,promote postoperative recovery of the patients.

关 键 词：体位干预护理 疝手术 疼痛 康复 

分 类 号：R47[医药卫生—护理学]