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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (02): 213-216. doi: 10.3877/cma.j.issn.1674-392X.2023.02.020

• Clinical Article • Previous Articles     Next Articles

Influencing factors and intervention strategies of discharge readiness in elderly patients after inguinal hernia surgery

Xue Li1,(), Xinge Tong1, Ting Liu1, Yamei Shi1   

  1. 1. Department of General Surgery, Xinhua Hospital, Xinhua Medical Group, Huainan, Anhui Province, Huainan 232052, China
  • Received:2022-11-08 Online:2023-04-18 Published:2023-04-20
  • Contact: Xue Li

Abstract:

Objective

To explore the influencing factors and intervention strategies of scores of discharge Readiness Scale (RHDS) in elderly patients after inguinal hernia surgery.

Methods

The clinical data of 90 elderly patients after inguinal hernia surgery who were admitted to Huainan Xinhua Hospital from August 2020 to June 2022 were analyzed retrospectively. The scores of RHDS of elderly inguinal hernia patients with different conditions were compared, the factors with statistical significance were included in the multivariate analysis, and the influencing factors of the scores of RHDS in elderly patients after inguinal hernia surgery were analyzed by multiple linear regression analysis.

Results

The scores of RHDS were lower in elderly patients who were aged>75 years old, high school and below, living in rural areas, indirect hernia, open surgery,self-care, living alone, with chronic diseases, had decreased ability to perceive self-care, postoperative local edema, urinary retention, nausea and vomiting, and severe pain (P<0.05). Multiple linear regression analysis showed that the age>75 years old, residence in rural areas, indirect hernia, open surgery, decreased perceived self-care ability, postoperative local edema, urinary retention, nausea and vomiting, and severe pain were independent risk factors for the score of RHDS in elderly patients after inguinal hernia surgery.

Conclusion

Age>75 years old, living in rural areas, indirect hernia, open surgery, decreased self-care ability, postoperative local edema, urinary retention, nausea, vomiting and severe pain were independent risk factors for the score of RHDS in elderly patients after inguinal hernia surgery. Targeted clinical treatment and intervention measures could be given accordingly to improve patient's readiness for discharge.

Key words: Hernia, inguinal, Old age, Discharge readiness, Influence factor

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