观察循证理念指导下循环改进策略在小儿腔镜疝护理中的应用效果。

选取2020年2月至2022年8月于颍上县人民医院行腔镜手术的腹股沟疝患儿86例，以随机数表法将其分为对照组（n=43）和观察组（n=43）。对照组给予常规护理，观察组则在对照组基础上予以循证理念指导下循环改进策略干预。比较2组患儿的术后恢复情况、围手术期心率及平均动脉压（MAP）、干预前后儿童焦虑性情绪障碍筛查表（SCARED）评分、儿童抑郁量表（CDI）评分，并统计干预期间并发症的发生情况。

观察组患儿肠道排气时间[（3.61±0.86）h]及住院时间[（2.63±0.76）d]少于对照组[（4.12±1.06）h、（3.30±1.33）d]，差异有统计学意义（P<0.05），2组患儿复苏时间差异无统计学意义（P>0.05）。观察组患儿围手术期心率及MAP均低于对照组（P<0.05），干预后2组患儿SCARED评分及CDI评分均较干预前降低，且观察组低于对照组（P<0.05）。此外观察组术后并发症总发生率为4.65%，低于对照组的18.60%（P<0.05）。

循证理念指导下循环改进策略能有效促进腹股沟疝患儿术后恢复，同时能改善患儿心率、MAP及心理状态，减少术后并发症。

To observe the application effect of circular improvement strategy under the guidance of evidence-based concept in nursing of pediatric laparoscopic hernia surgery.

All 86 children with inguinal hernia who underwent laparoscopic surgery in the People's Hospital of Yingshang County from February 2020 to Auguest 2022 were selected. They were divided into the control group (n=43) and the observation group (n=43) by random number table method. The control group was given routine nursing, and the observation group was given intervention with circular improvement strategy under the guidance of evidence-based concept on the basis of control group. Postoperative recovery, perioperative heart rate and mean arterial pressure (MAP), Screen for Child Anxiety Related Emotional Disorders (SCARED) scores and Child Depression Inventory (CDI) scores before and after intervention were compared between the two groups. The incidence rates of complications were analyzed.

Intestinal exhaust time [(3.61±0.86) h] and hospital stay [(2.63±0.76) d] of the observation group were shorter than those of the control group [(4.12±1.06) h、(3.30±1.33) d], and the differences were statistically significant (P<0.05). There was no significant difference in recovery time between the two groups (P>0.05). Perioperative heart rate and MAP in the observation group were lower than those in the control group (P<0.05). After intervention, the SCARED scores and CDI scores of the two groups decreased, and scores in the observation group were lower than those in the control group (P<0.05). The total incidence of postoperative complications in the observation group (4.65%) was lower than that in the control group (18.60%) (P<0.05).

The circular improvement strategy under the guidance of evidence-based concept can effectively promote postoperative recovery of children with inguinal hernia, improve their heart rate, MAP and psychological status, and reduce the incidence of postoperative complications.