目的达成理念指导下健康宣教模式对腹腔镜经腹腔腹膜前疝修补术治疗成人双侧腹股沟疝患者疾病知识掌握及康复效果的影响  

The Effect of Health Education Model under the Guidance of Ideas on the Knowledge of Disease and Rehabilitation of Adult Patients with Bilateral Inguinal Hernia Treated by Transabdominal Preperitoneal Herniorrhaphy

作　　者：陈玲玲[1] 蔡凯琴 CHEN Ling-Ling;CAI Kai-Qin(The Second Department of General Surgery,The First People's Hospital of Jiujiang City,Jiujiang 332000,China)

机构地区：[1]九江市第一人民医院普外二科,江西九江332000

出　　处：《中国药物经济学》2025年第2期125-129,共5页China Journal of Pharmaceutical Economics

摘　　要：目的探讨腹腔镜经腹腔腹膜前疝修补术(TAPP)治疗成人双侧腹股沟疝患者中实施目的达成理念下健康宣教的效果。方法选取2021年2月至2024年2月于九江市第一人民医院诊治的成人双侧腹股沟疝患者86例作为研究对象,通过随机数字表法分为常规组与干预组,每组43例。常规组实施常规护理,干预组则在常规护理基础上实施目的达成理念指导下健康宣教。比较两组患者疾病知识掌握情况、心理状态、自我护理能力变化情况及康复效果。结果干预后干预组疾病知识掌握率较常规组高(P<0.05),抑郁自评量表(SDS)评分及焦虑自评量表(SAS)评分较常规组低(P<0.05);干预后干预组自我护理能力量表(ESCA)各项评分较常规组均更高(P<0.05);干预组术后5 d视觉模拟评分法(VAS)评分低于常规组,住院时间短于常规组,康复效率高于常规组,差异有统计学意义(P<0.05)。结论采用TAPP给予双侧腹股沟疝患者治疗期间,实施目的达成理念下健康宣教,可有效帮助患者提高疾病知识认知水平,减轻心理应激反应,促进患者自我护理能力提高,进而获得更理想的康复效果。Objective To explore the effect of health education under the concept of achieving objectives in the Treatment of adult bilateral inguinal hernia patients with transabdominal preperitoneal herniorrhaphy(TAPP).Methods A total of 86 adult patients with bilateral inguinal hernia diagnosed and treated in Jiujiang First People's Hospital from February 2021 to February 2024were selected as the study objects,and were divided into routine group and intervention group by random number table method,with 43 cases in each group.The routine group carried out routine nursing,and the intervention group carried out health education based on routine nursing.The change of disease knowledge,mental state,self-care ability and rehabilitation effect were compared between the two groups.Results After intervention,the disease knowledge mastery rate of the intervention group was higher than that of the conventional group(P<0.05),and the scores of the self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS)were lower than that of the conventional group(P<0.05).After intervention,the scores of self-care ability Scale(ESCA)in the intervention group were higher than those in the conventional group(P<0.05).The VAS score at 5 days after operation in the intervention group was lower than that in the conventional group,the hospital stay was shorter than that in the conventional group,and the rehabilitation efficiency was higher than that in the conventional group,the difference was statistically significant(P<0.05).Conclusion During the treatment of patients with bilateral inguinal hernia,TAPP can effectively help patients improve their disease knowledge and cognition,reduce their psychological stress response,promote their self-care ability,and obtain more ideal rehabilitation effect.

关 键 词：腹腔镜经腹腔腹膜前疝修补术 双侧腹股沟疝 健康宣教 

分 类 号：R657.8[医药卫生—外科学] R473.6[医药卫生—临床医学]