全程护理干预模式对老年腹股沟疝疝环充填修补患者术后疼痛及应激反应的影响  

Effects of full-course nursing intervention model on pain and stress response in elderly patients with inguinal hernia during mesh plug procedure

作　　者：朱青 曹瑶 李建华[1] Zhu Qing;Cao Yao;Li Jianhua(Operating Room,the First People's Hospital of Lianyungang City,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院手术室,222000

出　　处：《中华疝和腹壁外科杂志（电子版）》2020年第5期564-567,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨全程护理干预模式对老年腹股沟疝患者术后疼痛及应激反应的影响。方法选取2018年6月至2019年6月,江苏省连云港市第一人民医院收治的153例老年腹股沟疝患者。采用随机数字表法将其分为对照组和观察组。全部患者行疝环充填手术,对照组患者76例给予传统护理模式,观察组患者77例采用全程护理干预模式。比较2组住院时间、下床活动时间及住院费用;对比2组患者干预前后的视觉模拟评分法(VAS)和汉密尔顿焦虑量表(HAMA);比较2组干预前、干预后3 d的氧化应激指标水平。采用SPSS 22.0统计学软件进行数据分析。结果观察组住院时间、下床活动时间均短于对照组,差异有统计学意义(P<0.05),住院费用无明显统计学差异(P>0.05)。观察期内2组患者VAS评分、HAMA评分均呈逐渐降低趋势,且干预后2 h、3 d观察组均低于对照组,差异有统计学意义(P<0.05)。与干预前比,干预后3 d,2组血清β⁃内啡肽水平均降低,且观察组低于对照组,差异有统计学意义(P<0.05);2组血清总抗氧化能力水平均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论全程护理干预模式可改善老年腹股沟疝患者疝环充填手术围手术期情况及负面情绪,并能减轻患者疼痛,改善其应激反应,加快患者康复。Objective To investigate the effects of full-course nursing intervention on pain and stress responce in elderly patients with inguinal hernia during mesh plug procedure.Methods A total of 153 elderly patients with inguinal hernia treated in the first people's hospital of Lianyungang city between June 2018 and June 2019 were selected and divided into the control group(n=76)and the observation group(n=77)by random number table.Both groups were performed with mesh plug procedure.The control group was given traditional nursing mode,and the observation group used full-course nursing mode.Both groups intervened for 3 days.The length of hospital stay,the time of getting out of bed,and the cost of hospitalization between the two groups wre compared.The scores of pain and anxiety before and after intervention were compared.The levels of oxidative stress indicators before and after the intervention at 3 d were compared between the two groups.Results The length of stay in the observation group and the time to get out of bed were shorter than those in the control group(P<0.05).No difference of hospitalization costs was observed between 2 groups.Compared with 1 h before the intervention and 2 h to 3 d after the intervention,the scores of VAS and HAMA in both groups showed a gradual decrease,and the observation group was lower than the control group at 2 h,3 days after intervention(P<0.05).Compared with before intervention,the level of serumβ-EP in the two groups decreased at 3 days after intervention,and the observation group was lower than the control group,the level of serum T-AOC in the two groups increased,and the observation group was higher than the control group(P<0.05).Conclusion Full-course nursing mode can improve the perioperative condition and negative emotions of elderly patients with inguinal hernia during mesh plug procedure,reduce pain and improvestress response,and speed up patients with recovery.

关 键 词：疝 腹股沟 老年人 充填式无张力疝修补术 全程护理 疼痛 应激反应 

分 类 号：R473.6[医药卫生—护理学]