日间手术病房护理模式应用于腹腔镜腹股沟无张力疝修补术患者的临床效果  

The clinical effect of applying the nursing mode of day surgery ward to patients undergoing laparoscopic tension-free inguinal hernia repair surgery

作　　者：陈婷婷 Chen Tingting(Surgery Department 2 of Lufeng People's Hospital,Guangdong Lufeng 516500,China)

机构地区：[1]陆丰市人民医院外二科,广东陆丰516500

出　　处：《临床普外科电子杂志》2024年第4期34-37,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨日间手术病房护理模式对腹腔镜腹股沟无张力疝修补术患者的影响。方法回顾性选取陆丰市人民医院2022年1月至2024年1月收治的行腹腔镜腹股沟无张力疝修补术患者117例,按手术时间不同分为住院手术组(59例,常规护理方法干预)、日间手术组(58例,日间手术病房护理模式干预),比较两组患者的术中出血量、住院时间、日间下床活动时间、并发症发生率等指标的差异性。结果日间手术组患者的术后住院时间、手术时间、术后自主下床活动时间较住院手术组更短,且术中出血量、总费用均较住院手术组更少,差异均有显著性(P<0.05)。日间手术组患者总并发症发生率(22.41%)显著低于住院手术组(47.46%),差异有显著性(P<0.05)。结论日间手术病房护理模式干预能显著提升腹腔镜下腹股沟疝修补术患者的临床治疗效果,并发症较低。Objective To explore the effect of nursing mode in the day surgery ward on patients undergoing laparoscopic tension-free inguinal hernia repair.Method A retrospective analysis was conducted on 117 patients who underwent laparoscopic tension-free inguinal hernia repair surgery at Lufeng People's Hospital from January 2022 to January 2024.The patients were divided into an inpatient surgery group(59 cases,intervened with conventional nursing methods)and a daytime surgery group(58 cases,intervened with nursing mode in the daytime surgery ward)according to diff erent surgical times.Result The differences in intraoperative bleeding,hospitalization time,daytime mobilization time,and incidence of complications between the two groups were compared.The results showed that the postoperative hospitalization time,surgery time,and postoperative mobilization time of patients in the daytime surgery group were shorter than those in the inpatient surgery group,and the intraoperative bleeding and total consumption were both less than those in the inpatient surgery group,with significant differences(P<0.05).The total incidence of complications in the daytime surgery group(22.41%)was significantly lower than that in the inpatient surgery group(47.46%),and the diff erence was significant(P<0.05).Conclusion The intervention of nursing mode in the daytime surgical ward can significantly improve the clinical treatment effect of patients undergoing laparoscopic lower abdominal inguinal hernia repair,with lower complications.

关 键 词：日间手术病房 护理模式 腹腔镜 腹股沟疝修补术 腹股沟疝 

分 类 号：R473.6[医药卫生—护理学]