探究手术室综合护理对腹股沟疝修补术患者的应用效果。

纳入2021年1月至2022年7月，在蒙城县中医院行手术治疗的腹股沟疝患者80例，经电脑随机数字法分成对照组和观察组，每组40例。对照组实施常规手术室护理，观察组分别在术前、术中及术后实施手术室综合护理干预，比较2组护理效果差异。评价分析指标包括：手术室留置时间、首次下床时间、疼痛持续时间、总住院时间、护理满意度、焦虑、抑郁、HADS评分、术后并发症发生率及手术切口愈合情况。

观察组患者手术室留置时间（23.53±2.75）h、首次下床时间（10.36±4.97）h、疼痛持续时间（25.39±5.83）h和住院时间（4.80±1.92）d均低于对照组（28.69±3.06）h、（17.58±6.31）h、（30.14±6.47）h和（6.75±2.68）d，差异均有统计学意义（P<0.05）。入院时，2组患者焦虑、抑郁及HADS评分比较，差异无统计学意义（P>0.05），术后1 d，2组患者焦虑、抑郁及HADS评分均较入院时降低，且对照组各项评分均显著高于观察组（P<0.05）。观察组患者护理满意度95.00%高于对照组77.50%，差异有统计学意义（P<0.05）；观察组患者并发症总发生率（2.50%）显著低于对照组（15.0%）（P<0.05），差异有统计学意义；观察组手术切口愈合情况显著优于对照组（P<0.05）。

手术室综合护理可有效缩短疝修补术治疗腹股沟疝患者的手术室留置时间以及术后住院时间和疼痛时间，显著缓解患者焦虑、抑郁等负面情绪、提高患者护理满意度、降低患者术后并发症发生率并缩短手术切口愈合时间。

To explore the nursing effects of comprehensive care in the operating room for patients undergoing hernia repair surgery for inguinal hernia.

This study included 80 patients with inguinal hernia who underwent surgery at Mengcheng Traditional Chinese Medicine Hospital from January 2021 to July 2022. They were randomly divided into a control group and an observation group, each with 40 patients, using a computer-generated random number method. The control group received routine operating room nursing care, while the observation group received comprehensive nursing care interventions before, during, and after the surgery. The nursing outcomes of the two groups were compared. Evaluation and analysis indicators included: operating room stay time, time to first getting out of bed, duration of pain, total hospital stay, nursing satisfaction, anxiety, depression, HADS (Hospital Anxiety and Depression Scale) scores, postoperative complication rates, and surgical incision healing.

The operating room stay time (23.53±2.75 hours), time to first getting out of bed (10.36±4.97 hours), duration of pain (25.39±5.83 hours), and total hospital stay (4.80±1.92 days) in the observation group were all significantly lower than those in the control group (28.69±3.06 hours, 17.58±6.31 hours, 30.14±6.47 hours, and 6.75±2.68 days respectively), with statistically significant differences (P<0.05). At admission, there were no significant differences in anxiety, depression, or HADS scores between the two groups (P>0.05). On the first day after surgery, anxiety, depression, and HADS scores in both groups decreased compared to admission, and the scores in the control group were significantly higher than those in the observation group (P<0.05). The nursing satisfaction rate in the observation group (95.00%) was significantly higher than that in the control group (77.50%) (P<0.05). The total incidence rate of complications in the observation group (2.50%) was significantly lower than that in the control group (15.0%) (P<0.05). The healing of surgical incisions in the observation group was significantly better than that in the control group (P<0.05).

Comprehensive nursing care in the operating room can effectively shorten the operating room stay, postoperative hospitalization, and pain duration for patients undergoing hernia repair for inguinal hernia. It significantly alleviates negative emotions such as anxiety and depression, improves patient nursing satisfaction, reduces the incidence of postoperative complications, and accelerates the healing of surgical incisions.