探究基于互联网社区医养结合延续性照护模式在老年腹股沟嵌顿疝急诊腹腔镜手术后康复中的应用。

选取2018年2月至2020年2月山东省立第三医院收治的腹股沟嵌顿疝老年患者96例作为研究对象，采用随机数字表法将患者分为对照组（常规随访护理）及试验组（基于互联网社区医养结合延续性照护模式），每组48例，比较2组日常生活活动能力、患者术后康复满意度及术后并发症发生率。

（1）出院当天以及出院后1、3、6个月时间点试验组的日常生活活动能力评分高于对照组（组间效应：F=11.320，P<0.001），2组的日常生活活动能力评分均有随时间变化而升高的趋势（时间效应：F=27.650，P<0.001），分组与时间有交互效应（交互效应：F=2.719，P=0.044）。（2）试验组患者术后康复满意度95.83%高于对照组79.17%，差异有统计学意义（P<0.05）。（3）试验组术后并发症发生率0%低于对照组12.50%（6/48），差异有统计学意义（χ²=8.718，P=0.026）。

基于互联网社区医养结合延续性照护模式在老年腹股沟嵌顿疝急诊腹腔镜手术后康复中的应用价值高，能够提高患者的日常生活活动能力及术后康复满意度，同时能够有效减少术后并发症，值得推行。

To explore the application value of Internet-based community medical care combined with continuous care model in the rehabilitation of elderly incarcerated inguinal hernia after emergency laparoscopic surgery.

A total of 96 elderly patients with incarcerated inguinal hernia admitted in Shangdong provincial third hospital from February 2018 to February 2020 were selected as the research object, and the patients were divided into a control group (n=48, routine follow-up care) and an experimental group (n=48, based on the Internet community medical care combined with continuous care model) by random number table method, comparing the activities of daily living, postoperative rehabilitation satisfaction, and postoperative complications of the two groups.

(1) On the day of discharge and 1 month, 3 months and 6 months after discharge, the daily activity score of the experimental group was higher than that of the control group (inter-group effect: F=11.320, P<0.001), the daily life activity scores of both groups have a tendency to increase with time (time effect: F=27.650, P<0.001), and group and time have an interactive effect (interactive effect: F=2.719, P=0.044). (2) Postoperative rehabilitation satisfaction of patients in the experimental group was 95.83% higher than that in the control group, 79.17%, the difference was statistically significant (P<0.05). (3) The incidence of postoperative complications in the experimental group was 0 lower than that in the control group, 12.50% (6/48), the difference was statistically significant (χ²=8.718, P=0.026).

Internet-based community medical care combined with continuous care model has high application value in the rehabilitation of elderly incarcerated inguinal hernia after emergency laparoscopic surgery, which can improve patients' daily life activities and postoperative rehabilitation satisfaction, and can effectively reduce postoperative complications. It is worth implementing.