探讨量化评估策略在老年腹股沟疝患者围手术期护理中的应用效果。

选取2018年1月至2019年1月，首都医科大学附属北京友谊医院医收治的60例老年腹股沟疝手术患者作为研究对象，按照随机数字表的方法分为观察组和对照组，每组30例。其中对照组仅实施常规的围术期护理干预，而观察组在此基础上配合量化评估策略干预。分别对2组患者的手术相关指标（手术时间、自行排气时间、术后进食时间和首次下床时间）、自我护理能力（自我护理技能、自我护理责任感、自我概念和自我护理知识）以及生活质量（生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康）进行客观的评价和比较。

2组患者的手术时间比较，差异无统计学意义（P>0.05）；但观察组患者与对照组的自行排气时间、术后进食时间以及首次下床时间等手术相关指标比较，差异有统计学意义（P<0.05）；观察组与对照组患者间的自我护理技能、自我护理责任感、自我概念和自我护理知识等自我护理能力评分比较，差异有统计学意义（P<0.05）；经随访1年发现，观察组患者术后的生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康评分比较，差异有统计学意义（P<0.05）。

量化评估策略干预有助于促进老年腹股沟疝手术患者培养正确的自我护理能力，且提高了患者的术后恢复以及生活质量，值得推广。

To explore the effect of quantitative evaluation strategy in perioperative nursing of elderly patients with inguinal hernia.

From January 2018 to January 2019, 60 cases of elderly patients with inguinal hernia surgery in Beijing Friendship Hospital were selected as the research object.According to random number table method, they were divided into observation group (n=30) and control group (n=30). The control group onlyimplementats conventional perioperative nursing intervention, while the observation group was added with quantitative assessment strategies for intervention. The patients' indicators related to the operation (operation time, exhaust time, postoperative time of food intake and ambulant time), self-care ability (self-care skill, self-care responsibility, self-concept and self-care knowledge) and quality of life (physiological function, physiological function, body pain, general health, vitality, social function, emotional function and mental health) were objectively evaluated and compared between the two groups.

After comparison, there was no statistically significant difference in operation time between the two groups (P>0.05), but there were statistically significant differences between the observation group and the control group in operation related indicators such as exhaust time, postoperative feeding time and the first ambulant time (P<0.05). The scores of self-care ability, such as self-care skill, self-care responsibility, self-concept and self-care knowledge were significantly different between the observation group and the control group (P<0.05). In addition, after one-year follow-up, postoperative physiological function, physiological function, body pain, overall health, vitality, social function, emotional function and mental health scores in observation group were significantly different (P<0.05).

Quantitative evaluation strategy intervention can promote the cultivation of correct self-care ability in elderly patients undergoing inguinal hernia surgery, and improve the postoperative recovery and quality of life of the patients, and it is worthy of promotion.