Application of improved clinical nursing approach in laparoscopic inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2022.03.022

Abstract

Abstract:

Objective

To explore the application of an improved clinical nursing approach in laparoscopic inguinal hernia repair.

Methods

72 patients with inguinal hernia who planned to undergo laparoscopic hernia repair in our department of Anqing First People's Hospital from June 2020 to May 2021 were selected as the research objects, The patients were divided into two groups on average. The control group (36 cases) adopted the improved clinical nursing path, and the experimental group (36 cases) adopted the improved clinical nursing path. The postoperative pain degree and quality of life of patients in the two groups were evaluated, the time of first anal exhaust, the time of getting out of bed and the length of hospital stay of patients in the two groups were compared, and the nursing satisfaction and complication rate of patients in the two groups were analyzed.

Results

The VAS score of experimental group was significantly lower than that of the control group at 3 and 6 hours after surgery (P<0.05). 12 hours after surgery, there was no significant difference in VAS score between the two groups (P>0.05). The activity time of getting out of bed, the time of anal exhaust and the length of hospital stay of the experimental group were significantly lower than those of the control group, and the overall health, physiological function, physiological function and body role scores of the experimental group were significantly higher than those of the control group (P<0.05). The nursing satisfaction of the experimental group (97.22%) was significantly higher than that of the control group (83.33%), and the complication rate (8.33%) was significantly lower than that in the control group (30.56%; P<0.05).

Conclusion

The improved clinical nursing path can effectively relieve the pain of patients with inguinal hernia after laparoscopic hernia repair, promote patients' postoperative recovery, improve nursing satisfaction, and reduce complications.

Key words: Clinical nursing pathway, Hernia, inguinal, Laparoscopes, Herniorrhaphy, Pain, Quality of life

Guie Xu, Lei Fang, Tingting Chen. Application of improved clinical nursing approach in laparoscopic inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(03): 350-353.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2022.03.022

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2022/V16/I03/350

Figures/Tables 5

References 20

[1]	胡海斌. 补中益气汤辅助无张力疝气修补术治疗腹股沟疝患者的临床观察[J]. 中国民间疗法, 2020, 28(7): 51-53.
[2]	杨柳. 舒适度护理在腹腔镜胆囊切除术患者中的应用[J]. 临床合理用药杂志, 2017, 10(17): 161-162.
[3]	廖玉琼, 易丹, 米雪中. 改进后护理临床路径在日间腹腔镜胆囊切除术中的应用评价[J]. 中国医药科学, 2017, 7(22): 130-132.
[4]	杨美玲. 临床护理路径在腹腔镜腹股沟疝修补术围手术期的临床效果及对VAS的影响[J]. 中国医药指南, 2019, 17(32): 265-266.
[5]	朱建平, 梁麦映. 全程优质护理干预对腹腔镜肝切除术患者术后恢复及深静脉血栓形成的影响[J]. 血栓与止血学, 2022, 28(5): 868-869.
[6]	Monzou BI, Fingleson LM, Moeng MS. Surgical rib fixation as an alternative method of treatment for multiple rib fractures: an audit of results compared with traditional medical management[J]. S Afr J Surg, 2021, 59(3): 86-89.
[7]	吕春子, 朱丽瑜, 陈壮容, 等. SF-36评分在颈源性头痛低温等离子消融术后患者生活质量评价中的应用[J]. 中华神经医学杂志, 2019, 18(8): 824-827.
[8]	Deng A, Zhang Y, Xiong R. Effects of a transitional care program for individuals with limbs disabilities living in a rural community: A randomized controlled trial[J]. Disabil Health J, 2021, 14(1): 100946.
[9]	杨薇, 袁利玲, 王莉. 中西医结合延续护理对强直性脊柱炎患者生存质量的影响[J]. 护理研究, 2020, 34(3): 396-400.
[10]	田云霞. 责任制护理在下肢深静脉血栓溶栓治疗护理中的应用及对患者并发症发生的影响[J]. 血栓与止血学, 2022, 28(6): 1051-1052.
[11]	Vogel R, McGraw C, Orlando A, et al. Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres[J]. BMJ Open, 2019, 9(11): e032374.
[12]	国擎. 腹腔镜下全腹膜外腹股沟疝修补术的临床效果观察[J]. 中国医疗器械信息, 2021, 27(8): 105-106.
[13]	卢巧萍, 张翠花, 赖燕蓉. 舒适护理实施在腹股沟疝无张力疝修补术围术期的效果观察[J]. 黑龙江中医药, 2021, 50(2): 274-275.
[14]	陈宁. 临床护理路径对胆囊结石腹腔镜手术患者胃肠功能及并发症的影响分析[J]. 现代诊断与治疗, 2021, 32(9): 1502-1504.
[15]	王祎. 临床护理路径在腹腔镜腹股沟疝修补术围手术期中的应用价值分析[J]. 中国医药指南, 2018, 16(33): 200.
[16]	Jiang H, Zhou Y, Gu Y, et al. Effect of Programmed nursing on nursing quality and postoperative recovery of patients undergoing laparoscopic surgery in general surgery[J]. Nurs Sci, 2019, 8(5): 359-363.
[17]	Ding Y. Effect of rapid rehabilitation surgical nursing on operative stress and postoperative recovery in elderly patients undergoing laparoscopic cholecystectomy[J]. Nurs Sci, 2019, 8(2): 162-167.
[18]	李会英, 吴庆珠, 吴燕, 等. 快速康复外科理念与临床护理路径相结合的综合诊疗模式在产科围手术期的应用效果[J]. 中国实用护理杂志, 2020, 36(21): 1644-1647.
[19]	邵薇薇, 张勇, 王辉, 等. 基于快速康复外科理念的临床护理路径在肾上腺肿瘤患者中的应用[J]. 中华现代护理杂志, 2020, 26(34): 4788-4792.
[20]	刘俊青, 邱怀玉, 胡敏蝶, 等. 临床护理路径应用于成年男性腹腔镜腹股沟疝无张力修补术围手术期的效果评价[J]. 岭南现代临床外科, 2018, 18(2): 233-236.

组别	例数	术后3 h	术后6 h	术后12 h
试验组	36	3.12±1.31	2.19±1.02	1.29±0.67
对照组	36	4.02±1.06	2.93±1.01	1.34±0.80
t值		2.97	2.87	0.27
P值		<0.001	0.01	0.79

组别	例数	术后3 h	术后6 h	术后12 h
试验组	36	3.12±1.31	2.19±1.02	1.29±0.67
对照组	36	4.02±1.06	2.93±1.01	1.34±0.80
t值		2.97	2.87	0.27
P值		<0.001	0.01	0.79

组别	例数	下床活动时间(h)	肛门排气时间(h)	住院时间(d)
试验组	36	6.21±3.21	5.49±1.22	2.76±0.67
对照组	36	8.42±3.41	7.63±1.76	3.42±0.46
t值		5.01	5.56	4.52
P值		<0.001	<0.001	<0.001

组别	例数	下床活动时间(h)	肛门排气时间(h)	住院时间(d)
试验组	36	6.21±3.21	5.49±1.22	2.76±0.67
对照组	36	8.42±3.41	7.63±1.76	3.42±0.46
t值		5.01	5.56	4.52
P值		<0.001	<0.001	<0.001

组别	例数	总体健康	生理功能	生理职能	躯体角色
试验组	36	73.86±3.37	72.37±3.21	75.49±3.24	74.86±3.65
对照组	36	69.36±3.46	68.42±3.85	70.63±3.53	70.54±4.48
t值		5.19	4.39	5.65	4.16
P值		<0.001	<0.001	<0.001	<0.001

Please choose a citation manager

Content to export