基于术后快速康复护理模式的切口局部冷敷联合微波治疗对腹股沟疝术后舒适度及生活质量的影响研究  

Study on the effect of incisional local cold dressing combined with microwave therapy on postoperative comfort and quality of life of inguinal hernia based on rapid postoperative rehabilitation care model

作　　者：林智 叶丽娜 张丹红 LIN Zhi;YE Lina;ZHANG Danhong(Hepatobiliary Surgery,Taizhou Central Hospital(Taizhou University Hospital),Zhejiang,Taizhou 318000,China)

机构地区：[1]台州市中心医院(台州学院附属医院)肝胆外科,浙江台州318000

出　　处：《中国现代医生》2022年第29期80-84,共5页China Modern Doctor

基　　金：浙江省基础公益研究计划项目(LGF21H160022)。

摘　　要：目的探讨基于术后快速康复护理模式的切口局部冷敷联合微波治疗对老年腹股沟疝术后患者舒适度及生活质量的影响。方法选取2019年1月至2021年12月于台州市中心医院行腹股沟疝无张力修补术治疗的老年患者180例,采用数表法随机分为对照组(n=90)与观察组(n=90),对照组予肝胆外科常规围手术期护理模式,观察组在快速康复围手术期护理模式基础上予切口冷敷及微波治疗,比较两组患者术后疼痛、术区血肿发生率、术后舒适度、术后生活质量及护理满意度情况。结果术后2d、3d及7d,观察组患者的切口疼痛程度评分均低于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者的术区血肿发生率(18.89%)低于对照组(46.67%),观察组的护理满意度(91.11%)高于对照组(63.33%),差异均有统计学意义(P<0.05);术后3d,观察组患者的舒适度得分(102.21±9.35)分,高于对照组(87.53±7.78)分,差异有统计学意义(P<0.05);出院时,观察组患者在GQOL–74评分的4个维度上[(76.03±5.34)分、(67.64±5.81)分、(74.72±4.61)分、(72.03±4.23)分],均高于对照组[(70.45±5.11)分、(62.58±6.01)分、(69.21±4.11)分、(68.19±4.72)分],差异均有统计学意义(P<0.05)。结论基于术后快速康复护理模式的切口局部冷敷联合微波治疗,不仅可降低老年腹股沟疝患者术后疼痛及血肿发生率,更利于提高患者术后舒适度、护理满意度及生活质量,值得临床广泛应用。Objective To investigate the effect of incisional local cold compresses combined with microwave therapy on postoperative elder patients with inguinal hernia based on a rapid postoperative rehabilitation care model to promote rapid postoperative recovery.Methods A total of 180 elderly patients treated with inguinal hernia tension–free repair in Taizhou Central Hospital from January 2019 to December 2021 were selected and divided into observation group(n=90)and control group(n=90)using random number table method,the control group was given conventional perioperative care model of hepatobiliary surgery,the observation group was given incisional cold compress and microwave therapy on the basis of rapid rehabilitation perioperative care model,and the postoperative pain,incidence of hematoma in the operation area,postoperative comfort,postoperative quality of life and nursing satisfaction of the two groups were compared.Results On postoperative day 2,postoperative day 3 and postoperative day 7,the incisional pain degree scores of the observation group were lower than those of the control group,and all differences were statistically significant(P<0.05);after the intervention,the incidence of hematoma in the observation group(18.89%)was lower than that in the control group(46.67%),and the nursing satisfaction in the observation group(91.11%)was higher than that in the control group(63.33%),and all differences were statistically significant(P<0.05);on postoperative day 3,the comfort score in the observation group(102.21±9.35)was higher than that in the control group(87.53±7.78),and the difference was statistically significant(P<0.05);at discharge,the observation group had higher scores on all four dimensions of the GQOL-74 score(76.03±5.34,67.64±5.81,74.72±4.61,72.03±4.23)than the control group(70.45±5.11,62.58±6.01,69.21±4.11,68.19±4.72),and all differences were statistically significant(P<0.05).Conclusion The combination of incisional local cold compresses and microwave therapy based on the rapid postoperati

关 键 词：快速康复 腹股沟疝 切口局部冷敷 微波治疗仪 

分 类 号：R73.5.1[医药卫生—肿瘤]