Effect of individualized nursing on the incidence of perioperative complications and nursing satisfaction after tension-free inguinal hernia repair in elderly patients

doi:10.3877/cma.j.issn.1674-392X.2020.04.023

Abstract

Abstract:

Objective

To analyze the effect of individualized nursing on the incidence of complications and nursing satisfaction after tension-free inguinal hernia repair in elderly patients.

Methods

Between April 2018 and August 2019, 90 elderly patients with inguinal hernia underwent tension-free hernia repair in Hainan western central hospital were selected. The patients were randomly divided into observation group (n=45) and control group (n=45). The control group was treated with routine nursing, the observation group received individualized nursing, and both groups were cared until the patient was discharged from hospital. The nursing effect, clinical efficacy, scores of visual analogue scale (VAS) and quality of life (QOL), postoperative complications and nursing satisfaction were compared between the two groups.

Results

The operation time, the time of getting out of bed, the time of anal exsufflation and the stay of hospitalization in the observation group were less than those in the control group (P<0.05). At discharge, the VAS score of the observation group was lower than that of the control group, and the QOL score and nursing satisfaction score of the observation group were higher than those of the control group (P<0.05). The incidence of perioperative complications in the observation group was 6.67% (3/45), which was significantly lower than that in the control group [26.67% (12/45), P<0.05].

Conclusion

Individualized nursing is effective in elderly patients with tension-free inguinal hernia repair. It can improve the surgical related indexes, reduce the occurrence of perioperative complications, reduce the pain of patients, and then promote the postoperative recovery of patients, improve their quality of life, and obtain the approval of patients.

Key words: Hernia, inguinal, Herniorrhaphy, Individualized nursing, Perioperative period, Complications

Jinyan You, Yuzhu Mo, Huayan Li, Jing Li. Effect of individualized nursing on the incidence of perioperative complications and nursing satisfaction after tension-free inguinal hernia repair in elderly patients[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(04): 410-413.

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References 19

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组别	例数	手术时间(min)	下床活动时间(h)	肛门排气时间(h)	住院天数(d)
观察组	45	60.83±13.22	12.25±3.15	18.05±5.60	3.50±2.50
对照组	45	72.35±15.16	15.66±3.85	23.50±7.55	4.50±2.90
t值	?	3.622	4.336	3.667	3.304
P值	?	0.001	<0.001	<0.001	0.001

组别	例数	手术时间(min)	下床活动时间(h)	肛门排气时间(h)	住院天数(d)
观察组	45	60.83±13.22	12.25±3.15	18.05±5.60	3.50±2.50
对照组	45	72.35±15.16	15.66±3.85	23.50±7.55	4.50±2.90
t值	?	3.622	4.336	3.667	3.304
P值	?	0.001	<0.001	<0.001	0.001

组别	例数	VAS评分	QOL评分
观察组	45	1.83±0.71	92.25±3.79
对照组	45	2.35±0.92	83.66±3.03
t值	?	2.830	11.196
P值	?	0.006	<0.001

组别	例数	VAS评分	QOL评分
观察组	45	1.83±0.71	92.25±3.79
对照组	45	2.35±0.92	83.66±3.03
t值	?	2.830	11.196
P值	?	0.006	<0.001

组别	例数	疼痛	尿潴留	阴囊血肿	认知功能障碍	并发症发生率
观察组	45	1(2.22)	1(2.22)	0	1(2.22)	3(6.67)
对照组	45	5(11.11)	3(6.67)	2(4.44)	2(4.44)	12(26.67)
χ²值	?	?	?	?	?	5.251
P值	?	?	?	?	?	0.022

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