Evaluation of the effect of short-term comprehensive intervention in operating room for patient underwent inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2020.03.021

Abstract

Abstract:

Objective

To investigate the effect of short-term comprehensive intervention in the operating room for the patient with groin hernia repair.

Methods

From May 2013 to December 2014, 144 cases of inguinal hernia in the affiliated Drum Tower Hospital were divided into the observation group and routine group, according the operation time, with 72 cases in each group. Routine care was used in the routine group, and the patients in observation group received the operation room short-term intervention, such as psychological intervention, behavior intervention and inform remind. The self-rating anxiety scale (SAS) were evaluated before and after the intervention in the two groups.

Results

The results showed that the SAS score in the routine group was significantly higher than that in the observation group (P<0.05); the heart rate of the patients in the routine group was significantly higher than that in the observation group (P<0.05), and the systolic blood pressure of patients in the routine group was significantly higher than that in the observation group (P<0.05); the VAS score of patients in the routine group was significantly higher than that in the observation group (P<0.05).

Conclusion

Short-term comprehensive intervention in the operating room can relieve patient's anxiety, fear and other negative emotions, improve patient's satisfaction after surgery, adjust the level of psychological stress response, and increase patient's replying ability to inguinal hernia repair. It can be promoted in clinic.

Key words: Short-term comprehensive intervention, Operating room, Hernia, inguinal, Anxiety, Intraoperative cooperation

Bo Yang, Qiaogui Wang. Evaluation of the effect of short-term comprehensive intervention in operating room for patient underwent inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 293-295.

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References 13

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组别	例数	年龄?(岁,±s)	性别(例)		文化程度(例)
组别	例数	年龄?(岁,±s)	男性	女性	小学及以下	中学及以上
观察组	72	43.4±2.6	68	4	26	46
常规组	72	43.9±2.9	68	4	27	45
t/χ²值	?	0.718	0.021		0.016
P值	?	>0.05	>0.05		>0.05

组别	例数	年龄?(岁,±s)	性别(例)		文化程度(例)
组别	例数	年龄?(岁,±s)	男性	女性	小学及以下	中学及以上
观察组	72	43.4±2.6	68	4	26	46
常规组	72	43.9±2.9	68	4	27	45
t/χ²值	?	0.718	0.021		0.016
P值	?	>0.05	>0.05		>0.05

组别	例数	焦虑自评量表(分,±s)		心率(次/min,±s)		收缩压(mmHg,±s)		满意度[例(%)]
组别	例数	进手术室	麻醉开始前	进手术室	麻醉开始前	进手术室	麻醉开始前	不满意	一般	很满意
观察组	72	56.9±5.3	41.3±4.7	71±5	75±8	119±9	118±8	0	18(25.00)	54(75.00)
常规组	72	57.8±5.9	57.8±5.9	71±4	82±7	120±8	126±7	6(8.33)	37(51.39)	29(40.28)
T/χ²值	?	1.897	16.154	9.919	10.542	0.619	6.572	13.159
P值	?	0.060	<0.001	0.349	<0.001	0.549	0.010	0.001

组别	例数	焦虑自评量表(分,±s)		心率(次/min,±s)		收缩压(mmHg,±s)		满意度[例(%)]
组别	例数	进手术室	麻醉开始前	进手术室	麻醉开始前	进手术室	麻醉开始前	不满意	一般	很满意
观察组	72	56.9±5.3	41.3±4.7	71±5	75±8	119±9	118±8	0	18(25.00)	54(75.00)
常规组	72	57.8±5.9	57.8±5.9	71±4	82±7	120±8	126±7	6(8.33)	37(51.39)	29(40.28)
T/χ²值	?	1.897	16.154	9.919	10.542	0.619	6.572	13.159
P值	?	0.060	<0.001	0.349	<0.001	0.549	0.010	0.001

组别	例数	术中			术后
组别	例数	疼痛	不适	恐惧	疼痛	不适	恐惧
观察组	72	6.08±2.68	7.66±3.80	8.98±6.06	58.60±12.62	59.89±12.18	47.80±8.68
常规组	72	12.26±5.06	16.26±12.88	12.86±5.68	73.16±11.06	76.38±12.98	50.18±10.66
P值	?	<0.001	0.001	0.003	0.004	<0.001	0.020

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