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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (02): 207-210. doi: 10.3877/cma.j.issn.1674-392X.2021.02.022

Special Issue:

• Nursing Article • Previous Articles     Next Articles

Study on the effects of comprehensive nursing intervention on perioperative indexes and its improvement for psychological status of patients undergoing inguinal herniasurgery under local anesthesia

Weijuan Yang1, Xiaowei Chen1,()   

  1. 1. Operating Room, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China
  • Received:2019-12-28 Online:2021-04-18 Published:2021-06-01
  • Contact: Xiaowei Chen

Abstract:

Objective

To explore the effects of comprehensive nursing intervention on perioperative indexes and its improvement effects on psychological status of patients undergoinginguinal hernia surgery under local anesthesia.

Methods

During the period from January 2018 to July 2019, 120 patients who underwent inguinal hernia surgery under local anesthesia in Beijing Chaoyang hospital were randomly divided into observation group and control group, with 60 case in each group. The control group was given routine nursing intervention, whilethe observation group was given comprehensive nursing intervention on basis of control group. The psychological stress status, intraoperative cooperation, anxiety and depression, and mood status were compared between the two groups.

Results

At 30 minutes before surgery and 30 minutes after entering operating room, levels of blood pressure and heart rate in observation group were lower than those in control group (P<0.05). The scores of intraoperative pain and fear in observation group were lower than those in control group, while score of intraoperative cooperationwas higher than that in control group (P<0.05). After intervention, scores of SAS and SDS in observation group were lower than those in control group (P<0.05). After intervention in POMS, scores of fatigue, panic, nervousness, depression and irritability in observation group were lower than those in control group, while scores of energy and self-esteem were higher than those in control group (P<0.05).

Conclusion

Comprehensive nursing intervention can effectively reduce intraoperative stress response in patients undergoing inguinal hernia surgery under local anesthesia, make them actively cooperate with treatment, improve their anxiety and depression, and alleviate unhealthy mood.

Key words: Hernia, inguinal, Local anesthesia, Comprehensive nursing intervention, Perioperative period, Psychological status

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