Analysis of application effect of high quality and fine intraoperative nursing in laparoscopic inguinal hernia surgery in children

doi:10.3877/cma.j.issn.1674-392X.2022.04.019

Abstract

Abstract:

Objective

To explore the application effect of high-quality and fine nursing management in the repair of inguinal hernia in children.

Methods

100 children who planned to undergo high ligation of indirect inguinal hernia sac in Affiliated Hospital of Southwest Medical University from January 2020 to January 2021 were randomly divided into control group (group A) and study group (group B), with 50 cases in each group. The control group was given perioperative routine nursing intervention combined with fine management, and the study group was given high-quality operating room nursing on the basis of the control group. The hospitalization time, anesthesia awake time, complication rate, indicators of operation efficiency, satisfaction of family members and medical staff of the two groups before and after the intervention were compared to further analyze and evaluate the nursing effect.

Results

The anesthesia awake time, hospital stay and operation transfer time in group B were better than those in group A (P<0.05). After entering the operating room, the degree of anxiety of children in group B was significantly lower than that in group A (P<0.05), and the satisfaction of family members of children in group B was significantly higher than that in group A (P<0.05).

Conclusion

The application of high-quality nursing combined with fine management in operating room nursing has a good effect on children undergoing high ligation of indirect inguinal hernia sac, which can significantly shorten the operation transfer time and hospital stay, reduce the anxiety of children during operation handover and induction of anesthesia, and improve the satisfaction of children's family members.

Key words: Operating room nursing, Children, Hernia, inguinal, Complication

Huaixia Yang, Yuanyuan Zhang, Qian Yang, Lijuan Li. Analysis of application effect of high quality and fine intraoperative nursing in laparoscopic inguinal hernia surgery in children[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 451-454.

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Figures/Tables 5

References 20

[1]	吴仿琴，颜伟，陆丽. 手术室综合护理干预对腹股沟斜疝患儿围术期的影响[J]. 浙江医学, 2019, 41(4): 380-381, 392.
[2]	杨前萍，王华锦. 情商训练联合卡通画册干预在腹腔镜下结扎术治疗腹股沟斜疝患儿围手术期中的应用[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(4): 438-441.
[3]	牛庆胜，李明伟. 经脐双孔法腹腔镜治疗腹股沟斜疝患儿的临床效果及对炎症因子的影响[J]. 中国医学创新, 2021, 18(25): 40-43.
[4]	孙忠博. 单孔腹腔镜疝囊高位结扎术治疗腹股沟斜疝患儿的效果[J]. 中国民康医学, 2021, 33(21): 41-42.
[5]	焉丹. 手术室腹腔镜精细化管理探讨[J]. 中国医疗设备, 2020, 35(1): 127-130, 144.
[6]	李昱霏. 精细化管理对手术室护理质量及手术效率的影响分析[J]. 现代消化及介入诊疗, 2020(S01): 1.
[7]	杨剑，谭妍. 优质手术室护理对腹腔镜直肠癌根治术患者术后康复及感染发生率的影响[J]. 结直肠肛门外科, 2021, 27(S1): 131.
[8]	郭汉萍，余春华，张华, 等. 阅读疗法在围手术期患儿护理中的应用研究[J]. 中国实用护理杂志, 2010, 26(26): 6-9.
[9]	HerniaSurge Group. International guidelines for groin hernia management[J]. Hernia, 2018, 22(1): 1-165.
[10]	Han SR, Kim HJ, Kim NH, et al. Inguinal hernia surgery in Korea: nationwide data from 2007-2015[J]. Ann Surg Treat Res, 2019, 97(1): 41-47.
[11]	Dreuning K, Maat S, Twisk J, et al. Laparoscopic versus open pediatric inguinal hernia repair: state-of-the-art comparison and future perspectives from a meta-analysis[J]. Surg Endosc, 2019, 33(10): 3177-3191.
[12]	Pogorelić Z, Anand S, Križanac Z, et al. Comparison of Recurrence and Complication Rates Following Laparoscopic Inguinal Hernia Repair among Preterm versus Full-Term Newborns: A Systematic Review and Meta-Analysis[J]. Children(Basel), 2021, 8(10): 853.
[13]	Chen R, Tang S, Lu Q, et al. A 9-year experience study of single-port micro-laparoscopic repair of pediatric inguinal hernia using a simple needle[J]. Hernia, 2020, 24(3): 639-644.
[14]	裴保方，曹松山，段彦彦, 等. 小儿腹股沟疝修补术围术期预防用药与手术切口感染情况分析[J]. 儿科药学杂志, 2020, 26(1): 37-39.
[15]	单王永，洪盾. 小儿腹股沟斜疝腹腔镜术后复发的影响因素分析[J]. 中国妇幼保健, 2020, 35(22): 4352-4355.
[16]	李三石，李从军，代景友. 腹腔镜下疝囊高位结扎联合脐正中襞修补术与传统手术对小儿腹股沟斜疝术后复发率的影响[J]. 临床和实验医学杂志, 2020, 19(17): 1888-1891.
[17]	Chen WL, Deng QQ, Xu W, et al. Multifactor study of efficacy and recurrence in laparoscopic surgery for inguinal hernia[J]. World J Clin Cases, 2021, 9(15): 3559-3566.
[18]	Wolak PK, Strzelecka A, Piotrowska A, et al. The Operative Time for Unilateral Inguinal Hernia Repair in Children Performed with Percutaneous Internal Ring Suturing(PIRS) or Open Approach Method[J]. J Clin Med, 2021, 10(6): 1293.
[19]	李巍昆. 精细化管理在医院管理中的应用[J]. 医疗装备, 2020, 33(2): 52-53.
[20]	吴小凤，陈丽茹，盛夏. 泌尿外科手术室医用高值耗材的精细化管理[J]. 护理学杂志, 2020, 35(16): 57-58.

组别	例数	手术准备时间	手术接送时间	每台手术的时间
研究组	50	33.44±1.55	18.06±1.33	19.92±0.94
对照组	50	33.22±1.88	28.08±1.34	18.00±1.48
t值		0.638	-5.528	3.587
P值		0.525	0.000	0.112

组别	例数	手术准备时间	手术接送时间	每台手术的时间
研究组	50	33.44±1.55	18.06±1.33	19.92±0.94
对照组	50	33.22±1.88	28.08±1.34	18.00±1.48
t值		0.638	-5.528	3.587
P值		0.525	0.000	0.112

组别	例数	麻醉清醒时间(min)	住院时间(d)
研究组	50	18.34±2.01	1.82±0.60
对照组	50	19.90±1.83	2.10±0.74
t值		-4.058	-2.078
P值		0.000	0.040

组别	例数	麻醉清醒时间(min)	住院时间(d)
研究组	50	18.34±2.01	1.82±0.60
对照组	50	19.90±1.83	2.10±0.74
t值		-4.058	-2.078
P值		0.000	0.040

组别	例数	恶心呕吐 (例)	呛咳 (例)	疼痛(例)	总发生率[例(%)]
研究组	50	3	2	4	9(18.00)^a
对照组	50	1	1	2	4(8.00)

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