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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (06): 725-728. doi: 10.3877/cma.j.issn.1674-392X.2022.06.026

• Nursing Article • Previous Articles     Next Articles

Perioperative application of FTS-CNP mode intervention in patients undergoing laparoscopic hiatal hernia repair

Yu Chang1,(), Guangzhou Li2, Xiaocui Yu3, Ying Xu3   

  1. 1. Department of Internal Medicine, People's Hospital of Fengrun District, Tangshan, Hebei 064000, China
    2. Department of General Surgery, People's Hospital of Fengrun District, Tangshan, Hebei 064000, China
    3. Department of Public Health, People's Hospital of Fengrun District, Tangshan, Hebei 064000, China
  • Received:2022-06-30 Online:2022-12-18 Published:2022-12-15
  • Contact: Yu Chang

Abstract:

Objective

To analyze the application effect of Fast Track Surgery (FTS)-Clinical Nursing Pathway (CNP) mode intervention in patients undergoing laparoscopic hiatal hernia repair.

Methods

From January 2020 to March 2022, 80 patients with laparoscopic hiatal hernia repair who were admitted to the Fengrun District People's Hospital of Tangshan City were divided into the control group and the study group, with 40 cases in each group. The method was the random number table method. The control group received routine nursing intervention, and the study group received FTS-CNP mode intervention, and they were followed up until discharge. The surgical conditions, postoperative incision pain classification, psychological status, and quality of life before the operation and 3 days later, postoperative hospital stay, and postoperative complications during hospitalization were analyzed in the two groups.

Results

The recovery of bowel sounds, the first anal exhaust, the removal of gastric tube, and the time of eating in the study group were shorter in both groups (P<0.05). There was a statistically significant difference in the grading of incision pain between the two groups awake after anesthesia after operation (P<0.05). On the 3 d after the operation, the scores of the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) in the two groups were lower than those before the operation, and the study group was lower in the two groups (P<0.05). The scores of the short form-36 (SF-36) were higher than those before operation, and the study group was higher in both groups (P<0.05). The incidence of complications in the study group during postoperative hospitalization was lower (10.00% vs 37.50%, P<0.05).

Conclusion

FTS-CNP mode intervention could improve the recovery after operation of patients undergoing laparoscopic hiatal hernia repair, reduce incision pain, improve psychological status and quality of life, and reduce the risk of complications during postoperative hospitalization.

Key words: Hernia, hiatal, Laparoscopy, fast track surgery, Clinical nursing pathway, Perioperative period

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