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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (01) : 115 -118. doi: 10.3877/cma.j.issn.1674-392X.2022.01.028

护理论著

不同护理模式在小儿腹股沟疝行腹腔镜疝囊高位结扎术的效果比较
曹耀戈1,(), 蒋丽1, 张坤1, 王翠红1, 李靖1   
  1. 1. 236800 安徽省亳州市人民医院疝腹壁小儿外科
  • 收稿日期:2021-04-09 出版日期:2022-02-18
  • 通信作者: 曹耀戈
  • 基金资助:
    国家卫计委课题(W2016EWAH07)

Comparative study on the application effect of different nursing modes in laparoscopic high ligation of inguinal hernia sac in children

Yaoge Cao1,(), Li Jiang1, Kun Zhang1, Cuihong Wang1, Jing Li1   

  1. 1. Department of Pediatric Surgery of Hernia Abdominal Wall, Bozhou People's Hospital, Bozhou 23680, China
  • Received:2021-04-09 Published:2022-02-18
  • Corresponding author: Yaoge Cao
引用本文:

曹耀戈, 蒋丽, 张坤, 王翠红, 李靖. 不同护理模式在小儿腹股沟疝行腹腔镜疝囊高位结扎术的效果比较[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(01): 115-118.

Yaoge Cao, Li Jiang, Kun Zhang, Cuihong Wang, Jing Li. Comparative study on the application effect of different nursing modes in laparoscopic high ligation of inguinal hernia sac in children[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(01): 115-118.

目的

探究亲情护理模式与综合护理模式分别对小儿腹股沟疝行腹腔镜疝囊高位结扎术的应用效果。

方法

选取2020年1月至6月在亳州人民医院治疗的66例腹股沟疝患儿,随机分为2组,每组患儿33例。亲情组采用亲情护理模式采用亲情护理模式,综合组采用综合护理模式对患儿进行护理干预。观察2组临床疗效、住院情况(手术时间、术中出血量、住院时间等)、疼痛评分、护理满意度以及术后并发症情况。

结果

综合组患儿治愈人数以及愈显率差异均无统计学意义(P>0.05);综合组患儿手术时间、术中出血量差异均无统计学意义(P>0.05),综合组住院时间低于亲情组患儿(P<0.05);2组术后6 h和术后1 d Oucher疼痛评分均高于术前,综合组Oucher评分低于亲情组(P<0.05)。综合组护理满意度高于亲情组,但亲情组非常满意度高于综合组,2组护理满意度比较,差异无统计学意义(P>0.05)。2组患儿术后并发症发生率比较,差异无统计学意义(P>0.05)。

结论

综合护理模式对小儿腹股沟疝行腹腔镜疝囊高位结扎术临床疗效产生积极作用,能够有效促进患儿的术后恢复,减少住院时间,提高患儿及家属护理满意度。

Objective

To explore the application effects of family nursing mode and comprehensive nursing mode in laparoscopic high ligation of the inguinal hernia sac in children, respectively.

Methods

A total of 66 children with inguinal hernia who were treated in Bozhou People's Hospital from January to June 2020 were randomly divided into family nursing group (33 cases) and comprehensive nursing group (33 cases), and nursing intervention was performed by family nursing mode and comprehensive nursing mode respectively. Clinical efficacy, hospitalization (surgical time, intraoperative bleeding, hospitalization time, etc.), pain scores, nursing satisfaction, and postoperative complications were observed.

Results

There was no significant difference in the number of cured children and healing rate in the comprehensive group (P>0.05). There was no significant difference in the operative time and intraoperative blood loss in the comprehensive group (P>0.05), and the length of hospital stay in the comprehensive group was lower than that in the family group (P<0.05). The VAS scores of both groups at 6 hours and 1 day after surgery were higher than those before surgery, and Oucher pain score of the comprehensive group was lower than that of the family group (P<0.05). The nursing satisfaction of the comprehensive group was higher than that of the family group, but the satisfaction of the family group was higher than that of the comprehensive group, and there was no statistical significance between the two groups (P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05).

Conclusion

Comprehensive nursing mode plays a positive role in the clinical efficacy of laparoscopic high ligation of hernia sac for inguinal hernia in children, which can effectively promote postoperative recovery of children, reduce the length of hospital stay, and improve nursing satisfaction of children and their families.

表1 2组临床疗效比较[例(%)]
表2 2组住院情况比较(±s
表3 2组Oucher疼痛评分比较(分,±s
表4 2组护理满意度比较[例(%)]
表5 2组手术并发症发生情况比较
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