对症护理及术前风险评估在老年复杂腹股沟疝手术患者中的应用效果  

Application Effect of Symptomatic Nursing and Preoperative Risk Assessment in Elderly Patients with Complicated Inguinal Hernia Surgery

作　　者：夏清霞 张会源 XIA Qingxia;ZHANG Huiyuan(Department of Surgery,Queshan Hospital of Traditional Chinese Medicine,Zhumadian 463200,China)

机构地区：[1]确山县中医院外科,河南驻马店463200

出　　处：《河南医学研究》2022年第22期4204-4207,共4页Henan Medical Research

摘　　要：目的探讨对症护理及术前风险评估在老年复杂腹股沟疝手术患者中的应用效果。方法选取2019年1月至2020年12月确山县中医院收治的96例老年复杂腹股沟疝手术患者作为研究对象,按照随机数表法分为对照组(48例)和研究组(48例)。对照组接受常规手术护理,研究组在对照组的基础上接受对症护理和术前风险评估。比较两组术后恢复情况、预后情况、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。结果研究组的肛门排气、肠鸣音恢复、术后进食、胃肠蠕动开始和住院时间均短于对照组,术后12、24 h视觉模拟评分量表(VAS)得分低于对照组(P<0.05)。研究组的复发率、并发症发生率低于对照组(P<0.05)。两组护理前SAS、SDS评分比较,差异无统计学意义(P>0.05);两组护理后SAS、SDS评分均低于护理前,且研究组低于对照组(P<0.05)。研究组护理满意度高于对照组(P<0.05)。结论对老年复杂腹股沟疝患者实施对症护理及术前风险评估,不仅可以提高手术安全性,而且还可以改善预后,提高护理满意度。Objective To explore the application effect of symptomatic nursing and preoperative risk assessment in elderly patients with complicated inguinal hernia surgery in elderly.Methods From January 2019 to December 2020,ninety-six elderly patients undergoing complicated inguinal hernia surgery in Queshan Hospital of Traditional Chinese Medicine were selected as the study objects,and they were divided into control group(48 cases)and study group(48 cases)according to the random number table.The control group received routine surgical care,while the study group received symptomatic nursing and preoperative risk assessment on the basis of the control group.The recovery,prognosis,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups were compared.Results The anal exhaust,bowel sound recovery,postoperative food intake,gastrointestinal peristalsis and hospitalization time in the study group were shorter than those in the control group,and the visual analogue scale(VAS)scores at 12 and 24 hours after operation were lower than those in the control group(P<0.05).The recurrence rate and complication rate in the study group were lower than those in the control group(P<0.05).There was no statistical difference in SAS and SDS scores between the two groups before nursing(P>0.05),the SAS and SDS scores of the two groups after nursing were lower than those before nursing,and those of the study group were lower than those of the control group(P<0.05).The nursing satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion The implementation of symptomatic nursing and preoperative risk assessment for elderly patients with complex inguinal hernia can not only improve the safety of surgery,but also improve the prognosis and nursing satisfaction.

关 键 词：复杂腹股沟疝 对症护理 术前风险评估 

分 类 号：R472[医药卫生—护理学]