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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 477 -479. doi: 10.3877/cma.j.issn.1674-392X.2022.04.025

护理论著

老年腹股沟嵌顿疝患者急诊术前优质护理对患者预后影响的对比研究
刘文红1, 王军宇1, 莫志丽1, 李晓霞2,†(), 魏兵1   
  1. 1. 100044　首都医科大学附属北京朝阳医院急诊科
    2. 100044　首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2022-03-06 出版日期:2022-08-18
  • 通信作者: 李晓霞

Comparative study on the effect of high quality nursing before emergency operation on the prognosis of elderly patients with incarcerated inguinal hernia

Wenhong Liu1, Junyu Wang1, Zhili Mo1, Xiaoxia Li2,†(), Bing Wei1   

  1. 1. Department of Emergency, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100044, China
    2. Department of Hernia and Abdominal Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100044, China
  • Received:2022-03-06 Published:2022-08-18
  • Corresponding author: Xiaoxia Li
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刘文红, 王军宇, 莫志丽, 李晓霞, 魏兵. 老年腹股沟嵌顿疝患者急诊术前优质护理对患者预后影响的对比研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(04): 477-479.

Wenhong Liu, Junyu Wang, Zhili Mo, Xiaoxia Li, Bing Wei. Comparative study on the effect of high quality nursing before emergency operation on the prognosis of elderly patients with incarcerated inguinal hernia[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 477-479.

目的

探讨关于老年急诊患者出现腹股沟嵌顿疝危险因素评估，以及在急诊就诊过程中急诊优质护理措施对患者预后的影响。

方法

回顾性研究分析2017年1月至2019年12月，首都医科大学附属北京朝阳医院急诊科就诊的老年嵌顿疝患者72例。按照护理方法不同，将患者分为2组，每组患者36例。对照组患者采用急诊常规疝手术前护理流程，观察组给予急诊老年嵌顿疝术前优质护理。比较2组患者手术指标及术后指标。

结果

观察组患者的术后下床时间及术后并发症（血肿、血清肿、急性疼痛、感染）发生率明显低于对照组，差异有统计学意义（P<0.05）。对照组患者术后总有效率为87.9%，观察组为98.1%，差异有统计学意义（P<0.05）。对照组护理满意率为86.11%，观察组为97.22%，差异有统计学意义（P<0.05）。

结论

老年腹股沟嵌顿疝患者在急诊实施优质护理措施对于提升患者满意度等有显著的效果，对于老年腹股沟嵌顿疝患者的恢复有明显促进作用。

关键词: 老年人, 嵌顿疝, 急诊, 优质护理, 预后
Objective

To explore the risk factors of incarcerated inguinal hernia in elderly emergency patients, and the impact of high quality emergency nursing measures on the prognosis of patients.

Methods

A retrospective study was conducted to analyze 72 elderly patients with incarcerated hernia who were admitted to the emergency department of Beijing Chaoyang Hospital Affiliated to Capital Medical University from January 2017 to December 2019. They were divided into two groups according to nursing methods, with 36 patients in each group. The control group was given emergency routine nursing before operation, and the observation group was given emergency high quality nursing before operation. The operation indexes and postoperative indexes were compared between the two groups.

Results

The time of getting out of bed and the incidence of postoperative complications (hematoma, seroma, acute pain, infection) in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). The total effective rate in the control group was 87.9%, while the total effective rate in the observation group was 98.1%, and the difference was statistically significant (P<0.05). The nursing satisfaction rate of the control group was 86.11%, and that of the observation group was 97.22%, the difference was statistically significant (P<0.05).

Conclusion

The implementation of high quality nursing in the emergency department for elderly patients with incarcerated inguinal hernia has a significant effect on improving patients’ satisfaction, and can promote the recovery of elderly patients with incarcerated inguinal hernia.

Key words: Elderly, Incarcerated hernia, Emergency, High quality nursing, The prognosis
表1 2组患者术前一般情况比较
组别 例数 性别(男性/女性) 年龄(岁,±s) 体质量指数(kg/m2,±s) 嵌顿时间(h,±s) 美国麻醉医师协会分级(Ⅱ/Ⅲ/Ⅳ,例)
观察组 36 34/2 72.34±11.34 20.10±2.70 9.33±3.45 10/23/3
对照组 36 35/1 74.22±11.89 19.33±2.66 8.94±3.32 11/22/3
t/χ2值   3.372 2.716 3.001 5.192 7.823
P值   0.177 0.378 0.092 0.223 0.840
表2 2组患者手术相关指标比较
组别 例数 手术时间(min,±s) 住院费用(元,±s) 术中并发症[例(%)] 术后下床时间(h,±s) 术后并发症[例(%)]
观察组 36 65.39±17.60 13 260.31±1223.90 5(13.89) 10.95±4.40 12(36.11)
对照组 36 67.49±18.60 13 581.55±1321.01 4(11.11) 18.03±2.34 8(22.22)
χ2值   3.651 4.001 2.309 -2.302 12.337*
P值   0.179 0.201 0.330 0.001 0.001
表3 2组患者护理满意度情况对比[例（%）]
组别 例数 非常满意 满意 一般 不满意 满意度
观察组 36 19(52.78) 16(44.44) 1(2.78) 0(0) 35(97.22)a
对照组 36 12(33.33) 19(52.78) 4(11.11) 1(2.78) 31(86.11)
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