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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 459 -462. doi: 10.3877/cma.j.issn.1674-392X.2022.04.021

临床论著

个性化舒适护理干预在腹腔镜下小儿腹股沟疝手术中的应用
李婷婷1, 王少华1,†(), 蒋丽2, 车利1, 葛晓燕3, 贺从涛2   
  1. 1. 236800　安徽省，亳州市人民医院手术室
    2. 236800　安徽省，亳州市人民医院小儿疝及腹壁外科
    3. 236800　安徽省，亳州市人民医院手术麻醉科
  • 收稿日期:2021-12-26 出版日期:2022-08-18
  • 通信作者: 王少华
  • 基金资助:
    安徽省自然科学基金(1808085HM345)

Application of personalized comfort nursing intervention in laparoscopic inguinal hernia surgery in children

Tingting Li1, Shaohua Wang1,†(), Li Jiang2, Li Che1, Xiaoyan Ge3, congtao He2   

  1. 1. Operating Room, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China
    2. Pediatric Hernia and Abdominal Wall Surgery, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China
    3. Surgical Anesthesia Department, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China
  • Received:2021-12-26 Published:2022-08-18
  • Corresponding author: Shaohua Wang
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引用本文：

李婷婷, 王少华, 蒋丽, 车利, 葛晓燕, 贺从涛. 个性化舒适护理干预在腹腔镜下小儿腹股沟疝手术中的应用[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(04): 459-462.

Tingting Li, Shaohua Wang, Li Jiang, Li Che, Xiaoyan Ge, congtao He. Application of personalized comfort nursing intervention in laparoscopic inguinal hernia surgery in children[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 459-462.

目的

研究个性化舒适性护理干预在腹腔镜下小儿腹股沟疝手术中的应用效果。

方法

选取2019年1月至2021年1月在亳州市人民医院行腹腔镜下腹股沟疝手术患儿100例作为研究对象，按照随机数字表法分为2组，每组患儿50例。对照组采用常规手术护理干预，试验组在常规护理干预的基础上实施手术个性化舒适护理干预。对比2组患儿临床疗效、术后疼痛程度、下床时间、住院时间、患儿家长对护理工作的满意度以及术后并发症。

结果

试验组的治疗总有效率（100.00%）高于对照组（96.00%），术后轻度疼痛率（70.00%）显著高于对照组（48.00%），差异均有统计学意义（P<0.05）；而2组患儿中、重度疼痛率无明显差异（P>0.05）；试验组术后下床时间和住院时间均显著低于对照组（P<0.05）；试验组患儿家长总满意率为（98.00%）显著高于对照组（80.00%），差异有统计学意义（P<0.05）；试验组总并发症发生率（4.00%）显著低于对照组（8.00%），差异有统计学意义（P<0.05）。

结论

个性化舒适护理干预在保证临床治疗效率的同时，可以减轻患儿的疼痛程度，促进患儿临床症状的恢复，有积极的临床应用价值。

关键词: 疝，腹股沟, 儿童, 个性化舒适护理, 腹腔镜
Objective

To study the effect of humanized and comfortable nursing intervention in laparoscopic Inguinal hernia surgery in children.

Methods

A total of 100 children who underwent laparoscopic Inguinal hernia surgery in the hospital from January 2019 to January 2021 were selected as the research objects. According to the random number table method, they were divided into observation group (n=50) and control group (n=50). The control group used conventional surgical nursing intervention, and the observation group implemented surgical humanized and comfortable nursing intervention on the basis of conventional nursing intervention. The clinical efficacy, postoperative pain degree, time to get out of bed, length of hospitalization, satisfaction of the children's family with nursing work, and postoperative complications were compared between the two groups of children.

Results

The total effective rate of treatment in the observation group (100.00%) was higher than that of the control group (96.00%) (P<0.05); the rate of mild postoperative pain in the observation group (70.00%) was significantly higher than that of the control group (48.00%) (P<0.05); there was no significant difference in the rates of moderate and severe pain between the two groups (P>0.05); the time to get out of bed and hospital stay in the observation group were significantly lower than those in the control group (P<0.05); the overall satisfaction rate of the children’s family members in the observation group was (98.00%) was significantly higher than that of the control group (80.00%) (P<0.05); the total complication rate of the observation group (4.00%) was significantly lower than that of the control group (8.00%) (P<0.05).

Conclusion

Humanized comfort nursing intervention can reduce the pain degree of patients and promote the recovery of clinical symptoms of children while ensuring the efficiency of clinical treatment, which has positive clinical application value.

Key words: Hernia, inguinal, Child, Personalized comfort care, Laparoscopes
表1 2组患儿临床疗效对比[例（%）]
组别 例数 治愈 显效 有效 无效 总有效
试验组 50 32(64.00) 13(26.00) 5(10.00) 0(0.00) 50(100.00)a
对照组 50 29(58.00) 12(24.00) 7(14.00) 2(4.00) 48(96.00)
表2 2组患儿术后下床时间和住院时间对比（±s）
组别 例数 下床时间(h) 住院时间(d)
试验组 50 4.24±2.56 1.21±0.26
对照组 50 6.67±2.44 2.21±0.56
t值   2.68 9.73
P值   0.01 0.00
表3 2组患儿家长对护理工作的满意度情况比较[例（%）]
组别 例数 很满意 满意 基本满意 不满意 总满意
试验组 50 35(70.00) 12(24.00) 2(4.00) 1(2.00) 49(98.00)a
对照组 50 30(60.00) 8(16.00) 2(4.00) 10(20.00) 40(80.00)
表4 2组患儿术后并发症情况比较[例（%）]
组别 例数 尿潴留 切口感染 阴囊血肿 总发生
试验组 50 1(2.00) 0(0.00) 1(2.00) 2(4.00)
对照组 50 2(4.00) 0(0.00) 2(4.00) 4(8.00)
χ2         4.00
P         0.04
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