罗伊适应护理模式在腹股沟疝患儿腹腔镜手术治疗过程中的干预效果  

Clinical application value and intervention effect of Roy adaptation nursing model in treatment of laparoscopic operation for children with inguinal hernia

作　　者：丁新波[1] 武妍[2] 邓澜[1] Ding Xinbo;Wu Yan;Deng Lan(Intensive Care,Wuhan University Central South Hospital,Hubei,Wuhan 430071,China;Anesthesia Surgery Department,Wuhan University Central South Hospital,Hubei,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院重症医学科,430071 [2]武汉大学中南医院麻醉手术科,430071

出　　处：《中华疝和腹壁外科杂志（电子版）》2019年第6期581-584,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨罗伊适应护理模式在腹股沟疝患儿腹腔镜手术治疗中的干预效果。方法选择2017年2月至2018年2月,武汉大学中南医院收治的60例腹股沟疝患儿,按照随机数字表法分为2组。对照组患儿采用腹股沟疝腹腔镜手术的常规护理措施,观察组患儿在实施常规护理措施的同时应用罗伊适应模式进行护理。对比观察2组患儿的手术时间、下床活动时间、住院治疗时间、护理满意度及并发症发生情况。结果观察组患儿手术时间、下床活动时间以及住院治疗时间分别为(20.5±3.2)min、(2.1±0.4)d及(6.1±1.6)d,显著少于对照组患儿(25.1±5.7)min、(5.4±1.3)d及(8.4±1.5)d,差异均有统计学意义(P<0.05);观察组患儿家长总满意度96.7%高于对照组的86.7%,差异有统计学意义(P<0.05);观察组患儿发生切口感染、愈合不良、牵拉痛以及尿潴留的例数均少于对照组患儿,且总发生率6.7%显著低于对照组患儿的16.7%,差异有统计学意义(P<0.05)。结论在腹股沟疝患儿接受腹腔镜手术治疗的过程中应用罗伊适应护理模式能够显著加快患儿的康复速度、提高治疗效果,并能够大大降低术后并发症的发生率,得到了广大患儿及其家长的认可。Objective To discuss the clinical application value and intervention effect of Roy adaptation nursing model in the treatment of laparoscopic operation for children with inguinal hernia.Methods From February 2017 to February 2018,60 cases of children with inguinal hernia treated in Wuhan University Central South hospital were divided into control group and experimental group according to random number table.And the control group were treated by conventional measures of care of laparoscopic hernia surgery,while the experimental group were applicated by Roy adaptation nursing model in the implementation of routine nursing.In the two groups,the operative time,the activity time of getting out of bed,the hospitalization time,nursing satisfaction of family members,and the occurrence of complications were compared and observed.Results The operative time,the activity time of getting out of bed and the hospitalization time in the experimental group were(40.5±3.2)minutes,(2.1±0.4)days and(5.1±1.6)days,respectively,were lower than those in the control group,(45.1±5.7)minutes,(5.4±1.3)days and(8.4±1.5)days,respectively,and the difference were significant(P<0.05).The nursing satisfaction of family members in the experimental group was 96.67%,which was significantly higher than that of 86.7%in the control group(P<0.05).In the experimental group,the numbers of wound infection,poor healing,pain and urinary retention were less than those in the control group,and the total incidence rate of 6.67%was significantly less than that of 16.7%in the control group(P<0.05).Conclusion The application of Roy adaptation nursing mode in children with inguinal hernia received laparoscopic surgery can significantly speed up the rehabilitation of children,improve the therapeutic effect,and can greatly reduce the incidence of postoperative complications,which has been recognized by the majority of the children and their families,so it is worth further promoting and using.

关 键 词：疝 腹股沟 罗伊适应护理模式 儿童 腹腔镜 

分 类 号：R47[医药卫生—护理学]