Application of high quality nursing method in emergency operation of elderly incarcerated inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2019.04.025

Abstract

Abstract:

Objective

To explore the application effect of high quality nursing method in emergency operation of elderly incarcerated inguinal hernia.

Methods

116 elderly patients with inguinal incarcerated hernia in Qionghai Hospital of Traditional Chinese Medicine from September 2016 to July 2018 were selected and divided into the experiment group and the control group by random number table method, 58 cases in each group. All patients of the two groups underwent tension-free hernia repair, the control group received routine nursing during the perioperative period, and the experiment group used high-quality nursing mode. The depression/anxiety status before and 2 weeks after discharge, the degree of pain at different time before and after operation, the quality of care during hospitalization and postoperative complications of the two groups were compared.

Results

Compared with period before treatment, the scores of SDS and SAS during two weeks after discharge significantly decreased in the two groups, and the scores of experiment group was significantly lower than of the control group (P<0.05). The visual analogue score (VAS) gradually decreased from 6 h to 3 d after operation of the 2 groups, and the VAS scores from 6 h to 3 d after operation of the experiment group were significantly lower than those of the control group (P<0.05). The scores of condition observation, nursing skills and prevention of the experiment group were significantly higher than of the control group (P<0.05). The incidence of total complications in the experiment group was significantly lower than that in the control group (P<0.05).

Conclusion

High-quality nursing mode can significantly reduce the pain degree of elderly patients with incarcerated inguinal hernia after emergency surgery, relieve negative emotions, reduce the risk of postoperative complications and promote recovery of patients. It is recommended to use in clinic.

Key words: High quality nursing method, Elderly, Incarcerated inguinal hernia, Emergency operation, Effect

Juying Li, Lifang Ma, Aining Liang. Application of high quality nursing method in emergency operation of elderly incarcerated inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(04): 380-382.

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Figures/Tables 3

References 13

[1]	Togawa Y, Muronoi T, Kawaguchi H, et al. Minimal incision transinguinal repair for incarcerated obturator hernia[J]. Hernia, 2014, 18(3): 407-411.
[2]	栾宁, 刁海鑫, 张传海, 等. 开放式腹膜前间隙无张力疝修补术在老年腹股沟嵌顿疝中的应用[J]. 中国现代普通外科进展, 2016, 19(8): 630-632.
[3]	Yin Y, Zhang H, Zhang X, et al. Laparoscopic surgery in the treatment of incarcerated indirect inguinal hernia in children[J]. Exp Ther Med, 2016, 12(6): 3553-3556.
[4]	李亮. 实用腹股沟疝外科学[M]. 西安: 世界图书出版西安有限公司, 2014: 121-123.
[5]	叶小勇, 张帆, 陈新岐, 等. 腹腔镜无张力疝修补术治疗老年双侧腹股沟疝32例分析[J]. 贵州医药, 2015, 39(7): 609-610.
[6]	罗文, 王斌, 王勇, 等. Lichtenstein无张力疝修补手术治疗成人腹股沟嵌顿疝[J]. 中华普通外科杂志, 2016, 31(7): 557-560.
[7]	谢芳珍. 全程护理干预模式在老年腹股沟疝患者行疝环充填式无张力补片修补术中的应用[J]. 中华现代护理杂志, 2014, 49(18): 2229-2231.
[8]	宁洁. 老年腹股沟疝围手术期护理方法及效果[J]. 中国现代药物应用, 2015, 9(11): 219-220.
[9]	Montes A, Roca G, Sabate S, et al. Genetic and clinical factors associated with chronic postsurgical pain after hernia repair, hysterectomy, and thoracotomy: a two-year multicenter cohort study[J]. Anesthesiology, 2015, 122(5): 1123-1141.
[10]	蔺建华, 王纪明, 许会玲, 等. 不同术中保温对胃肠术患者体温与凝血功能及手术部位感染的影响[J]. 中华医院感染学杂志, 2016, 26(18): 4176-4178.
[11]	谢晓玲. 体位干预护理对疝手术患者术后非切口疼痛以及腹胀的影响分析[J]. 实用临床医药杂志, 2016, 20(22): 107-109.
[12]	刘丹, 周庆红. 快速康复外科护理对无张力腹股沟疝修补术患者术后恢复及护理满意度的影响[J]. 河北医学, 2016, 22(6): 1033-1035.
[13]	申秋香. 优质护理对老年疝气患者围手术期负性情绪及疾病复发率的影响[J]. 河南医学研究, 2017, 26(5): 948-949.

组别	时间	例数	SDS评分	SAS评分
观察组	治疗前	58	58.69±5.34	55.47±5.39
观察组	出院后2周	58	27.43±3.37^a,b	23.07±4.33^a,b
对照组	治疗前	58	57.94±4.38	54.83±5.84
对照组	出院后2周	58	35.47±4.06^a	28.59±3.95^a

组别	时间	例数	SDS评分	SAS评分
观察组	治疗前	58	58.69±5.34	55.47±5.39
观察组	出院后2周	58	27.43±3.37^a,b	23.07±4.33^a,b
对照组	治疗前	58	57.94±4.38	54.83±5.84
对照组	出院后2周	58	35.47±4.06^a	28.59±3.95^a

组别	例数	术前	术后6 h	术后12 h	术后24 h	术后3 d
观察组	58	7.58±2.22	6.04±2.10^a	4.39±1.59^a	2.90±1.14^a	2.04±0.95^a
对照组	58	7.15±2.31	6.85±2.11	5.53±1.92	3.97±1.43	2.50±1.10

组别	例数	术前	术后6 h	术后12 h	术后24 h	术后3 d
观察组	58	7.58±2.22	6.04±2.10^a	4.39±1.59^a	2.90±1.14^a	2.04±0.95^a
对照组	58	7.15±2.31	6.85±2.11	5.53±1.92	3.97±1.43	2.50±1.10

组别	例数	病情观察	护理技巧	并发症预防
观察组	58	22.05±2.95^a	23.75±1.05^a	21.95±2.38^a
对照组	58	19.50±2.57	20.44±2.14	17.95±2.49

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