探讨系统化整体护理在腹腔镜完全腹膜外疝修补术（TEP）中的应用。

选取2017年2月至2018年8月，青海省人民医院收治的腹股沟疝患者78例，采用随机数字表法将患者分为观察组和对照组，每组39例。2组患者均行TEP术式，对照组给予常规护理，观察组在常规护理基础上给予系统化整体护理。比较2组手术相关临床参数、入院时及出院后2周焦虑、抑郁状态和住院期间护理质量，记录2组术后并发症发生情况。

与对照组比较，观察组术后肛门排气时间、术后进食时间及自主下床活动时间均明显提前，差异均有统计学意义（t=2.862、2.086、2.894，P=0.005、0.040、0.005）。与入院时比较，出院后2周观察组患者焦虑自评量表（SAS）、抑郁自评量表评分（SDS）均明显降低，差异有统计学意义（t=21.123、26.679，P均<0.001）；对照组患者SAS、SDS均明显降低，差异有统计学意义（t=12.927、17.871，P均<0.001）。且观察组SAS、SDS明显低于对照组，差异有统计学意义（t=6.535、10.040，P均<0.001）。观察组总并发症发生率明显低于对照组，差异有统计学意义（12.82%比33.33%，P<0.05）。观察组护理满意度（100.00%）显著高于对照组（76.92%），差异有统计学意义（χ²=10.174，P=0.001）。

系统化整体护理可明显降低行TEP术式患者术后并发症发生率，有效改善患者焦虑、抑郁等负面情绪，极大地促进患者术后恢复，护理满意度明显高于常规护理模式。

To explore the application effect of systematic holistic nursing on laparoscopic totally extraperitoneal inguinal hernia repair (TEP).

78 patients with inguinal hernia admitted to Qinghai province people's hospital from February 2017 to August 2018 were selected and divided into the experiment group and the control group by random number table method, 39 cases in each group. The 2 groups underwent TEP, the control group received routine care, and the experiment group received systematic holistic nursing on the basis of routine care. The clinical parameters, the anxiety, depression status at the time of admission and 2 weeks after discharge and the quality of nursing during the hospitalization of the 2 groups were compared, and the postoperative complications of the 2 groups were recorded.

Compared with the control group, the postoperative anal exhaust time, postoperative feeding time and spontaneous ambulation time significantly advanced in the experiment group (t=2.862, 2.086, 2.894, P=0.005, 0.040, 0.005). Compared with admission, the scores of SAS and SDS significantly decreased at 2 weeks after discharge in the experiment group, and the experiment group was significantly lower than the control group (all P<0.001). The incidence of total complications in the experiment group was significantly lower than that in the control group (12.82% vs 33.33%, P<0.05). The nursing satisfaction in the experiment group were significantly higher than the control group (χ²=10.174, P=0.001).

Systematic holistic nursing can significantly reduce the incidence of postoperative complications in patients with TEP, effectively improve negative emotions such as anxiety and depression, and greatly promote postoperative recovery of patients. The satisfaction of nursing is significantly higher than the conventional nursing mode, it's recommended to use in clinic.