The application effect of cluster nursing mode under the concept of enhanced recovery after surgery in inguinal hernia repair surgery

doi:10.3877/cma.j.issn.1674-392X.2023.05.031

Abstract

Abstract:

Objective

To explore the application effect of cluster nursing based on the concept of enhanced recovery after surgery (ERAS) in patients with inguinal hernia repair.

Methods

A total of 94 patients who underwent inguinal hernia repair in Yichang First People's Hospital from January 2020 to December 2021 were selected and divided into the control group of 47 cases and the observation group of 47 cases by the random number table method. The control group was given the ERAS care model, and the observation group was given bundled care based on the ERAS concept. The postoperative recovery, postoperative pain at different time points, anxiety and depression before and after nursing, the occurrence of adverse reactions and nursing satisfaction were compared between the two groups.

Results

The, postoperative eating time, anal exhaust time, ambulation time, and hospital stay in the observation group were significantly shorter than those in the control group (P<0.05). 2, 4, 8, 12, 24 h after operation, the visual analogue scale (VAS) score of the observation group was significantly lower than that of the control group (P<0.05). The scores of the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the two groups after nursing were lower than those before nursing (P<0.05), and the observation group was significantly lower than the control group (P<0.05). The incidence of adverse reactions in the observation group (4.26%) was significantly lower than that in the control group(17.02%) (P<0.05). The nursing satisfaction of the observation group (97.87% vs 87.23%) was significantly higher than that of the control group (P<0.05).

Conclusion

The bundled nursing based on the ERAS concept applied to patients undergoing inguinal hernia repair can speed up postoperative recovery, relieve postoperative pain, relieve anxiety and depression, reduce adverse reactions, and improve nursing satisfaction.

Key words: Hernia, inguinal, Herniorrhaphy, Enhanced recovery after surgery, Cluster nursing

Huarong Zheng, Jun Liu, Yan Zheng, Yulian Chen, Zimin Liao. The application effect of cluster nursing mode under the concept of enhanced recovery after surgery in inguinal hernia repair surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 643-646.

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Figures/Tables 6

References 23

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组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数(kg/m²,±s)	疝位置[例(%)]		类型[例(%)]
组别	例数	男性	女性	年龄(岁,±s)	体重指数(kg/m²,±s)	右侧	左侧	斜疝	直疝	股疝
观察组	47	43(91.49)	4(8.51)	58.34±6.31	22.73±2.98	28(59.57)	19(40.43)	23(48.94)	18(38.30)	6(12.77)
对照组	47	44(93.62)	3(6.38)	59.19±6.62	23.55±3.24	26(55.32)	21(44.68)	21(44.68)	18(38.30)	8(17.02)
t/χ²		0.154		0.637	1.277	0.174		0.377
P		0.694		0.526	0.205	0.677		0.828

组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数(kg/m²,±s)	疝位置[例(%)]		类型[例(%)]
组别	例数	男性	女性	年龄(岁,±s)	体重指数(kg/m²,±s)	右侧	左侧	斜疝	直疝	股疝
观察组	47	43(91.49)	4(8.51)	58.34±6.31	22.73±2.98	28(59.57)	19(40.43)	23(48.94)	18(38.30)	6(12.77)
对照组	47	44(93.62)	3(6.38)	59.19±6.62	23.55±3.24	26(55.32)	21(44.68)	21(44.68)	18(38.30)	8(17.02)
t/χ²		0.154		0.637	1.277	0.174		0.377
P		0.694		0.526	0.205	0.677		0.828

组别	例数	术后进食时间(d)	肛门排气时间(h)	下床活动时间(h)	住院时间(d)
观察组	47	1.09±0.28	4.51±0.75	5.49±1.16	3.28±2.26
对照组	47	1.96±0.41	7.30±0.86	8.83±1.69	4.38±1.95
t		-11.922	-16.791	-11.198	-4.834
P		<0.001	<0.001	<0.001	<0.001

组别	例数	术后进食时间(d)	肛门排气时间(h)	下床活动时间(h)	住院时间(d)
观察组	47	1.09±0.28	4.51±0.75	5.49±1.16	3.28±2.26
对照组	47	1.96±0.41	7.30±0.86	8.83±1.69	4.38±1.95
t		-11.922	-16.791	-11.198	-4.834
P		<0.001	<0.001	<0.001	<0.001

组别	例数	术后2 h	术后4 h	术后8 h	术后12 h	术后24 h
观察组	47	1.70±0.56	1.53±0.50	1.55±0.50	1.09±0.28	1.02±0.15
对照组	47	3.13±0.22	2.94±0.96	2.60±0.65	1.55±0.50	1.53±0.50

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