Effect of comprehensive nursing intervention on compliance and postoperative complications in children undergoing inguinal hernia surgery

doi:10.3877/cma.j.issn.1674-392X.2022.04.027

Abstract

Abstract:

Objective

To investigate the effect of comprehensive nursing intervention on the treatment compliance and postoperative complication rate in children undergoing inguinal hernia surgery.

Methods

The clinical data of 96 children with hernia who underwent surgical treatment in Xuancheng Central Hospital from January 2017 to December 2021 were selected and randomly divided into conventional group and comprehensive group, with 48 cases in each group. Children in the conventional group received conventional perioperative nursing mode intervention, and children in the comprehensive group received the comprehensive nursing mode intervention. The psychological status, treatment compliance, postoperative complications and parents' satisfaction were compared between the two groups.

Results

The levels of Hamilton Self-rating Anxiety Scale and Children's Depression Scale in the two groups decreased after nursing, and were lower in the comprehensive group than those in the conventional group (P<0.05). The treatment compliance rate of the comprehensive group was significantly better than the conventional group (P<0.05). The incidence of postoperative complications in the comprehensive group was significantly lower than that in the conventional group (P<0.05). The parents' satisfaction of the comprehensive group was significantly better than that in the conventional group (P<0.05).

Conclusion

Comprehensive nursing intervention can effectively improve the treatment compliance of children with hernia surgery, improve the inner negative emotions of children, and improve parents' satisfaction with treatment and nursing services.

Key words: Hernia, inguinal, Child, Comprehensive care, Compliance, Complications

Wei Qiang, Liyue Xu, Guangyuan Wang. Effect of comprehensive nursing intervention on compliance and postoperative complications in children undergoing inguinal hernia surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 483-486.

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References 15

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组别	例数	性别(例)		平均年龄(岁,±s)	平均体质量指数(kg/m²,±s)	发病部位(例)
组别	例数	男性患儿	女性患儿	平均年龄(岁,±s)	平均体质量指数(kg/m²,±s)	右侧	左侧	双侧
常规组	48	36	12	6.12±1.33	18.21±1.52	14	12	22
综合组	48	36	12	6.07±1.35	18.26±1.49	13	20	15
t/χ²值		0.236		0.183	-0.163	0.194	0.222	0.677
P值		0.627		0.855	0.871	0.66	0.637	0.411

组别	例数	性别(例)		平均年龄(岁,±s)	平均体质量指数(kg/m²,±s)	发病部位(例)
组别	例数	男性患儿	女性患儿	平均年龄(岁,±s)	平均体质量指数(kg/m²,±s)	右侧	左侧	双侧
常规组	48	36	12	6.12±1.33	18.21±1.52	14	12	22
综合组	48	36	12	6.07±1.35	18.26±1.49	13	20	15
t/χ²值		0.236		0.183	-0.163	0.194	0.222	0.677
P值		0.627		0.855	0.871	0.66	0.637	0.411

组别	例数	汉密尔顿焦虑自评量表		儿童抑郁量表
组别	例数	治疗前	治疗后	治疗前	治疗后
常规组	48	9.87±0.31	7.47±0.21	10.41±0.50	7.958±0.65
综合组	48	9.83±0.34	5.22±0.30	10.43±0.44	6.001±0.27
χ²值	-	0.602	42.569	0.216	20.641
P值	-	0.549	<0.001	0.829	<0.001

组别	例数	汉密尔顿焦虑自评量表		儿童抑郁量表
组别	例数	治疗前	治疗后	治疗前	治疗后
常规组	48	9.87±0.31	7.47±0.21	10.41±0.50	7.958±0.65
综合组	48	9.83±0.34	5.22±0.30	10.43±0.44	6.001±0.27
χ²值	-	0.602	42.569	0.216	20.641
P值	-	0.549	<0.001	0.829	<0.001

组别	例数	非常依从(例)	依从(例)	不依从(例)	依从率[例(%)]
常规组	48	12	19	17	31(64.6)
综合组	48	21	24	3	45(93.8)^a

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