标准化人文关怀服务在腹腔镜腹股沟疝修补术中的应用  

Application of standardized humanistic care in laparoscopic inguinal hernia repair

作　　者：许文娟[1] 伍翠云[2] 许燕 倪超 Xu Wenjuan;Wu Cuiyun;Xu Yan;Ni Chao(Department of General Surgery,The Third People's Hospital of Hefei,Hefei 230022,China;Department of Nursing,The Third People's Hospital of Hefei,Hefei 230022,China)

机构地区：[1]合肥市第三人民医院普外科,230022 [2]合肥市第三人民医院护理部,230022

出　　处：《中华疝和腹壁外科杂志（电子版）》2024年第4期456-460,共5页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：合肥市第三人民医院院级科研项目(SYKY202012)。

摘　　要：目的探究标准化人文关怀服务在腹腔镜腹股沟疝修补术中的应用。方法选取2020年8月至2023年6月合肥市第三人民医院收治的接受腹腔镜疝修补术治疗的腹股沟疝患者120例,采用随机数字表法分为2组,每组60例。观察组接受标准化人文关怀服务,对照组接受常规干预。统计2组患者伤口愈合时间、住院时间、并发症发生率;采用数字分级评分法(NRS)评估患者术后疼痛情况,广泛性焦虑量表(GAD-7)及健康问卷抑郁症状群量表(PHQ-9)评估患者心理状态,纽卡斯尔护理满意度量表(NSNS)评估患者护理满意度。结果观察组伤口愈合时间[(5.31±1.17)d]、住院时间[(2.16±0.52)d]均短于对照组[(7.43±2.08)d、(4.33±1.22)d],差异有统计学意义(P<0.05);观察组患者术后1 d NRS评分[(3.92±1.32)分]、3 d NRS评分[(2.53±0.87)分]均低于对照组[(4.63±1.51)分、(3.48±1.16)分],差异有统计学意义(P<0.05);干预后观察组患者GAD-7评分[(10.53±2.09)分]、PHQ-9评分[(12.13±3.24)分]均低于对照组[(13.65±2.56)分、(16.53±2.97)分],差异有统计学意义(P<0.05);观察组并发症发生率(3.33%)低于对照组(15.00%),护理满意度(96.67%)高于对照组(85.00%),差异均有统计学意义(P<0.05)。结论标准化人文关怀服务在腹腔镜腹股沟疝患者中效果显著,可缩短患者伤口愈合时间以及手术时间,并可改善患者术后疼痛情况、心理状态以及并发症情况,有利于提高护理满意度。Objective To investigate the application of standardized humanistic care in laparoscopic inguinal hernia repair.Methods A total of 120 patients who underwent laparoscopic inguinal hernia repair in the Third People's Hospital of Hefei from August 2020 to June 2023 were selected.Using the random number table method,they were divided into two groups,with 60 cases in each group.The observation group received standardized humanistic care and the control group received routine intervention.Wound healing time and length of hospital stay were recorded.The Numerical Rating Scale(NRS),7-item Generalized Anxiety Disorder Questionnaire(GAD-7),Patient Health Questionnaire 9(PHQ-9)and Newcastle Satisfaction with Nursing Scale(NSNS)were used to evaluated patient nursing satisfaction.Results The wound healing time[(5.31±1.17)days]and hospital stay[(2.16±0.52)days]in the observation group were significantly shorter than those in the control group[(7.43±2.08),(4.33±1.22)days],with statistical significance(P<0.05).The NRS scores on postoperative day 1[(3.92±1.32)points]and day 3[(2.53±0.87)points]in the observation group were significantly lower than those in the control group[(4.63±1.51),(3.48±1.16)points],with statistical significance(P<0.05).After the intervention,the GAD-7 score[(10.53±2.09)points]and PHQ-9 score[(12.13±3.24)points]in the observation group were significantly lower than those in the control group[(13.65±2.56),(16.53±2.97)points],with statistical significance(P<0.05).The complication rate in the observation group(3.33%)was significantly lower than in the control group(15.00%),and the nursing satisfaction rate(96.67%)was significantly higher than in the control group(85.00%),both with statistical significance(P<0.05).Conclusion Standardized humanistic care services have a significant effect on patients undergoing laparoscopic inguinal hernia surgery.This approach can shorten wound healing time and hospital stay,improve postoperative pain,psychological state,and reduce the incidence of complications,the

关 键 词：疝 腹股沟 腹腔镜 标准化人文关怀 术后疼痛 心理状态 

分 类 号：R473.6[医药卫生—护理学]