路径化护理联合个体化疼痛管理对小儿腹股沟斜疝的影响  

Effect of Pathway Care Combined with Individualized Pain Management on Pediatric Inguinal Hernia

作　　者：李秀敏[1] 张希 Li Xiu-min;Zhang Xi(Department of Surgery,Jinxiang County People's Hospital,Jining 272200,Shandong Province,China;Endoscopy Unit,Jinxiang County People's Hospital,Jining 272200,Shandong Province,China)

机构地区：[1]金乡县人民医院外科,山东济宁272200 [2]金乡县人民医院内窥镜室,山东济宁272200

出　　处：《中外医药研究》2022年第16期76-78,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨路径化护理联合个体化疼痛管理对腹股沟斜疝患儿术后疼痛及手术相关指标的影响。方法:选取2020年5月-2022年5月金乡县人民医院收治的腹股沟斜疝患儿60例为观察对象,按随机数字表法分为对照组和观察组,各30例。对照组给予常规护理干预,观察组给予路径化护理联合个体化疼痛管理。比较两组患儿术后24 h疼痛程度、手术相关指标、并发症发生率。结果:观察组术后24 h疼痛程度较对照组轻,差异有统计学意义(P=0.004);观察组手术时间、麻醉复苏时间、术后进食时间、术后下床活动时间短于对照组,术中出血量少于对照组,差异有统计学意义(P=0.000);观察组并发症发生率低于对照组,差异有统计学意义(P=0.038)。结论:路径化护理联合个体化疼痛管理能有效减轻腹股沟斜疝患儿疼痛程度,降低并发症发生率,加快术后康复进程。Objective:To explore the effect of pathway care combined with individualized pain management on postoperative pain and surgery-related indexes in children with inguinal hernia.Methods:Sixty cases of children with inguinal hernia admitted to Jinxiang County People's Hospital from May 2020 to May 2022 were selected as observation subjects,and were divided into control group and observation group by random number table method,thirty cases each.The control group was given conventional nursing interventions,and the observation group was given pathway care combined with individualized pain management.The 24 h postoperative pain level,surgery-related indexes,and complication rates of the children in the two groups were compared.Results:The 24 h postoperative pain level in the observation group was less than that in the control group,and the difference was statistically significant(P=0.004).The operating time,anesthesia resuscitation time,postoperative feeding time,and postoperative bed activity time in the observation group were shorter than those in the control group,and the intraoperative bleeding was less than that in the control group,with statistically significant differences(P=0.000).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.038).Conclusion:Pathway care combined with individualized pain management can effectively reduce the pain level of children with inguinal hernia,decrease the incidence of complications,and accelerate the postoperative recovery process.

关 键 词：腹股沟斜疝 小儿 路径化护理 个体化疼痛管理 手术相关指标 

分 类 号：R47[医药卫生—护理学]