Effect of comprehensive nursing and psychological care intervention on high ligation of laparoscopic hernia sac in pediatric inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2022.02.025

Abstract

Abstract:

Objective

To explore the effect of comprehensive nursing and psychological nursing intervention in the treatment of laparoscopic high ligation of the laparoscopic hernia sac in pediatric inguinal hernia.

Methods

A total of 104 children with laparoscopic high ligation of inguinal hernia in surgical and pediatric children from August 2019 to January 2, 2021, were randomly divided into 52 patients, comprehensive care intervention (Z, n=52) and routine (C, n=52). The Z group received comprehensive care and psychological care intervention, and the C group received routine care to compare pain and fear improvement, changes in mood status, stress response, and adverse reactions in the two groups.

Results

The improvement of pain, fear, and mood state of children in group Z was better than that of children in group C (P<0.05); children in group Z had a small increase in the level of stress response, and the stress situation was better than that of children in group C (P<0.05); the satisfaction of the children at admission, discharge and last follow-up gradually increased, and the satisfaction score of the children in group Z was higher than that of children in group C (P<0.05); adverse reactions occurred in both groups, and the difference was not statistically significant (P>0.05).

Conclusion

The effect of comprehensive nursing and psychological care intervention on patients is obvious, which can effectively improve patient pain and fear, improve mood state and relieve stress response, which deserves clinical promotion.

Key words: Comprehensive care, Psychological care, Hernia, inguinal, Pediatric, Laparoscopic high ligation of hernia sac

Wenjuan Sun, Bo Feng, Dan Yao, Rong Sun, Qian Zhang, Weidong Shi. Effect of comprehensive nursing and psychological care intervention on high ligation of laparoscopic hernia sac in pediatric inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(02): 232-235.

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References 15

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组别	例数	疼痛评分			恐惧评分
组别	例数	入院时	出院时	末次随访	入院时	出院时	末次随访
Z组	52	6.83±1.32	7.08±1.25	0.65±0.12^ab	2.32±0.87^ab	2.67±0.69^ab	1.01±0.22^ab
C组	52	7.02±1.14	7.13±1.16	0.76±0.38^a	3.25±0.93^a	3.47±0.62^a	1.28±0.15^a
t值		0.065	0.211	1.991	5.266	6.219	7.312
P值		0.949	0.833	0.049	<0.001	<0.001	<0.001

组别	例数	疼痛评分			恐惧评分
组别	例数	入院时	出院时	末次随访	入院时	出院时	末次随访
Z组	52	6.83±1.32	7.08±1.25	0.65±0.12^ab	2.32±0.87^ab	2.67±0.69^ab	1.01±0.22^ab
C组	52	7.02±1.14	7.13±1.16	0.76±0.38^a	3.25±0.93^a	3.47±0.62^a	1.28±0.15^a
t值		0.065	0.211	1.991	5.266	6.219	7.312
P值		0.949	0.833	0.049	<0.001	<0.001	<0.001

组别	例数	疲劳		慌乱		紧张		抑郁
组别	例数	入院时	出院时	入院时	出院时	入院时	出院时	入院时	出院时
Z组	52	73.20±6.12	29.51±6.47^ab	74.25±5.77	30.47±6.15^ab	72.34±6.15	30.54±6.91^ab	70.18±6.41	31.78±6.8^ab
C组	52	72.31±5.37	32.57±5.67^a	70.16±6.19	74.28±6.4	18.7±2.1	33.71±7.01^a	71.27±5.97	34.62±6.39^a
t值		2.565		2.211		2.322		2.195
P值		0.012		0.029		0.022		0.030
组别	例数	易怒		精力		自尊
组别	例数	入院时	出院时	入院时	出院时	入院时	出院时
Z组	52	71.23±7.05	31.22±6.74^ab	42.37±5.51	68.91±4.38^ab	49.6±7.54	67.33±5.06^ab
C组	52	73.25±6.18	34.71±6.52^a	43.17±5.28	74.35±5.57^a	50.6±7.14	69.53±5.71^a
t值		2.684		5.536		2.079
P值		0.008		0.000		0.040

组别	例数	疲劳		慌乱		紧张		抑郁
组别	例数	入院时	出院时	入院时	出院时	入院时	出院时	入院时	出院时
Z组	52	73.20±6.12	29.51±6.47^ab	74.25±5.77	30.47±6.15^ab	72.34±6.15	30.54±6.91^ab	70.18±6.41	31.78±6.8^ab
C组	52	72.31±5.37	32.57±5.67^a	70.16±6.19	74.28±6.4	18.7±2.1	33.71±7.01^a	71.27±5.97	34.62±6.39^a
t值		2.565		2.211		2.322		2.195
P值		0.012		0.029		0.022		0.030
组别	例数	易怒		精力		自尊
组别	例数	入院时	出院时	入院时	出院时	入院时	出院时
Z组	52	71.23±7.05	31.22±6.74^ab	42.37±5.51	68.91±4.38^ab	49.6±7.54	67.33±5.06^ab
C组	52	73.25±6.18	34.71±6.52^a	43.17±5.28	74.35±5.57^a	50.6±7.14	69.53±5.71^a
t值		2.684		5.536		2.079
P值		0.008		0.000		0.040

组别	例数	皮质醇(ng/ml)		去甲肾上腺素(ng/L)		醛固酮(ng/L)
组别	例数	术前	术后3 d	术前	术后3 d	术前	术后3 d
Z组	52	202.7±17.3	218.35±23.4^ab	212.8±21.5	235.4±22.7^ab	18.4±2.3	25.7±4.5^ab
C组	52	203.1±16.8	232.23±22.9^a	225.6±23.2	266.2±21.9^a	18.7±2.1	32.6±2.3^a
t值			3.057		7.041		9.846
P值			0.003		0.000		0.000

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