循证护理应用在腹腔镜腹股沟疝手术护理中的价值及对术后感染发生的影响  

Value of Evidence-based Nursing Application in Laparoscopic Inguinal Hernia Surgery Nursing Care and the Impact on the Occurrence of Postoperative Infections

作　　者：李燕萍[1] 饶春梅[1] 林国辉[2] LI Yanping;RAO Chunmei;LIN Guohui(Day Surgery Center Ward,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361001 China;Department of General Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361001 China)

机构地区：[1]厦门大学附属第一医院日间手术中心病房,福建厦门361001 [2]厦门大学附属第一医院普外科,福建厦门361001

出　　处：《中外医疗》2023年第31期133-136,共4页China & Foreign Medical Treatment

摘　　要：目的 分析探讨循证护理应用在腹腔镜腹股沟疝手术护理中的价值及对术后感染发生的影响。方法选取2022年3月—2023年3月厦门大学附属第一医院收治的213例腹腔镜腹股沟疝手术患者为研究对象,随机数表法分成对照组(107例,常规护理)和观察组(106例,循证护理),比较两组疼痛程度评分、心理状态变化及术后感染。结果 术后6 h疼痛程度对比差异无统计学意义(P>0.05);观察组术后第3、7、28天电话随访评价患者的疼痛程度低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者接受干预前心理状态比较差异无统计学意义(P>0.05);干预后,观察组患者心理状态评分(焦虑、抑郁)低于对照组,差异有统计学意义(P<0.05)。观察组内切口感染率为4.71%低于对照组的17.76%,差异有统计学意义(χ~2=9.056,P=0.003)。结论 临床在腹腔镜腹股沟疝手术护理中实施循证护理对改善患者疼痛程度、心理状态有积极效果,感染发生率降低。Objective To analyze and discuss the value of evidence-based nursing application in the nursing care of laparoscopic inguinal hernia surgery and its influence on the occurrence of postoperative infection.Methods A total of 213 patients undergoing laparoscopic inguinal hernia surgery admitted to the First Affiliated Hospital of Xiamen University from March 2022 to March 2023 were selected as the research objects.They were divided into control group(107 cases,routine nursing) and observation group(106 cases,evidence-based nursing) by random number table method.The pain score,psychological state changes and postoperative infection were compared between the two groups.Results There was no statistically significant difference in the degree of pain at 6 h after operation(P>0.05).The pain degree of the patients in the observation group was lower than that in the control group on the 3 rd,7 th and 28 th day after operation,and the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in psychological state between the two groups before intervention(P>0.05);after intervention,the psychological state score(anxiety,depression) of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incision infection rate in the observation group was 4.71% lower than that in the control group(17.76%),and the difference was statistically significant(χ~2=9.056,P=0.003).Conclusion Clinical implementation of evidence-based nursing in the care of laparoscopic inguinal hernia surgery has a positive effect on the improvement of the patient's pain level and psychological state,and the incidence of infection is reduced.

关 键 词：循证护理 腹腔镜 腹股沟疝 手术护理 术后感染 心理状态 

分 类 号：R5[医药卫生—内科学]