Effect analysis of combined nursing in laparoscopic hiatal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2023.06.019

Abstract

Abstract:

Objective

To explore the application effect of predictive nursing and the concept of rapid rehabilitation nursing(referred to as combined nursing) in laparoscopic hiatal hernia repair.

Methods

Ninety patients admitted to the Emergency Department of the Second Affiliated Hospital of the Air Force Medical University of the People's Liberation Army of China from January 2019 to January 2021 for laparoscopic esophageal hiatal hernia repair were selected and randomly divided into a predictive care group, a fast recovery nursing concept group, and a combined group (with 30 patients in each group). All patients received routine care. The predictive nursing group was given a predictive nursing model on the basis of routine nursing. The fast recovery nursing concept group was given the fast track nursing concept nursing model on the basis of routine nursing. The combined group was given the nursing model of predictive nursing combined with fast recovery nursing concept group on the basis of routine nursing. The hospital stay, anal exhaust time, pain duration, gastric tube removal time, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores before and after nursing, as well as the incidence of postoperative complications and satisfaction were compared between the two groups.

Results

The postoperative hospital stay, anal exhaust time, pain duration, gastric tube removal time, SDS score and SAS score, and recurrence rate of complications in the combined group were significantly lower than those in the predictive nursing group or fast recovery nursing concept group, and the differences were statistically significant (P all <0.05); The nursing satisfaction rate of combined group was significantly higher than that of predictive nursing group or fast recovery nursing concept group, and the difference reached a significant level (P<0.05).

Conclusion

The nursing model of predictive nursing combined with the fast recovery nursing concept group can effectively shorten the hospital stay of patients undergoing laparoscopic hiatal hernia repair, reduce the recurrence rate of complications and improve patients' satisfaction, which is beneficial to patients' postoperative rehabilitation, and its effect is better than that of the two alone.

Key words: Predictive nursing, Fast recovery nursing, Laparoscope, Hernia, hiatal

Xue Li, Wenting Liu, Liting Dou, Yehong Liu. Effect analysis of combined nursing in laparoscopic hiatal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 750-754.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2023.06.019

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2023/V17/I06/750

Figures/Tables 5

References 20

[1]	Şen O, Sekmen Ü, Türkçapar AG. The Effect of Laparoscopic Sleeve Gastrectomy With Concomitant Hiatal Hernia Repair on Gastroesophageal Reflux Disease[J]. Surg Laparosc Endosc Percutan Tech, 2022, 32(4): 449-452.
[2]	元海成, 张楠, 董国强, 等. 巨大食管裂孔疝诊断和腹腔镜治疗研究进展[J]. 中国中西医结合外科杂志, 2021, 27(6): 923-927.
[3]	韩硕, 杨慧琪, 聂玉胜, 等. 腹腔镜下补片修补食管裂孔疝的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(1): 8-13.
[4]	付兴娟. 腹腔镜食管裂孔疝修补术中手术室护理路径的应用[J]. 继续医学教育, 2020, 34(8): 92-93.
[5]	热孜万古力·铁木尔. 预见性护理在腹腔镜食管裂孔疝修补术中的效果分析[J/OL]. 中华胃食管反流病电子杂志, 2017, 4(4): 188-190.
[6]	梁瑞, 刘娜娜, 李利, 等. 加速康复理念在腹腔镜肝癌切除患者护理中的应用[J]. 中华全科医学, 2022, 20(7): 1255-1258.
[7]	杜秀云, 李赞林, 李义亮, 等. 加速康复外科理念在腹腔镜食管裂孔疝修补+胃底折叠术围手术期的应用[J]. 中华胃食管反流病电子杂志, 2019, 6(4): 200-203.
[8]	盛娟, 贺明春. 快速康复外科理念在全腹腔镜下食管裂孔疝修补术患者围术期护理中的应用[J]. 齐鲁护理杂志, 2019, 25(24): 99-101.
[9]	阿卜来提·艾则孜, 阿地力·阿布拉. 腹腔镜食管裂孔疝修补术25例疗效分析[J/OL]. 中华胃食管反流病电子杂志, 2021, 8(2): 85-88.
[10]	杨维维,杨阳,曹永丽,等. 快速康复护理在腹腔镜结肠癌术后康复中的应用[J/OL]. 中华消化病与影像杂志(电子版), 2020, 10(4): 183-186.
[11]	邱永敬. 快速康复护理理念在肝癌介入治疗中更显优势[J]. 临床研究, 2019, 27(11): 168-170.
[12]	武志敏, 程五琴. 预见性护理对围手术期患者深静脉血栓预防的疗效[J]. 中国民间疗法, 2018, 26(9): 100-101.
[13]	潘静, 周芯羽, 范双华. 预见性护理结合快速康复理念对预防胃肠外科术中压力性损伤的应用价值[J]. 中西医结合护理(中英文), 2021, 7(4): 166-168.
[14]	罗梦娜, 陈钰芬, 温晓云, 等. 直肠癌保肛术后患者肠道功能与自我管理行为的关系研究[J]. 护理管理杂志, 2022, 22(5): 361-365.
[15]	赵彩玲, 石红玲. 预见性护理对重症留置胃管患者负性心理及非计划拔管的干预效果分析[J]. 生命科学仪器, 2021, 7(1): 167-171.
[16]	马虹颖, 杨存美, 王杰, 等. 综合护理管理措施降低老年痴呆患者胃管非计划性拔管的效果观察[J]. 中华现代护理杂志, 2021, 27(7): 934-938.
[17]	王洁, 王俭, 姚海霞. 腹腔镜下食管裂孔疝修补术后预见性护理程序的应用[J]. 中华胃食管反流病电子杂志, 2019, 6(4): 226-228.
[18]	赵娜. 预见性护理对老年冠心病心绞痛的应用效果分析[J]. 中国医药指南, 2021, 19(20): 145-146
[19]	刘韦唯. 快速康复护理在宫颈癌患者术后康复中的应用价值[J]. 肿瘤基础与临床, 2020, 33(3): 256-258.
[20]	彭锦莲, 李敏文, 邓楚仪. 预见性护理联用快速康复护理对股骨粗隆间骨折患者缓解疼痛感和改善生活质量的效果[J]. 中国医药科学, 2020, 10(21): 133-136.

组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数(kg/m²,±s)
组别	例数	男性	女性	年龄(岁,±s)	体重指数(kg/m²,±s)
预见性护理组	30	16(53.33)	14(46.67)	40.36±2.11	24.98±3.54
快速康复护理理念组	30	13(43.33)	17(56.67)	40.16±2.61	25.07±3.11
联合组	30	15(50.00)	15(50.00)	40.38±2.34	25.16±4.21
F/χ²		0.623		0.080	0.018
P		0.733		0.924	0.982

组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数(kg/m²,±s)
组别	例数	男性	女性	年龄(岁,±s)	体重指数(kg/m²,±s)
预见性护理组	30	16(53.33)	14(46.67)	40.36±2.11	24.98±3.54
快速康复护理理念组	30	13(43.33)	17(56.67)	40.16±2.61	25.07±3.11
联合组	30	15(50.00)	15(50.00)	40.38±2.34	25.16±4.21
F/χ²		0.623		0.080	0.018
P		0.733		0.924	0.982

组别	例数	住院时间(d)	肛门排气时间(h)	疼痛持续时间(d)	拔除胃管时间(h)
预见性护理组	30	10.11±0.98	35.46±5.39	6.04±0.71	25.39±3.44
快速康复护理理念组	30	10.01±0.84	35.45±6.69	5.89±0.77	25.69±5.14
联合组	30	8.11±0.84^*#	27.72±4.69^*#	4.64±0.62^*#	22.31±4.24^*#
F		48.195	18.735	35.895	5.602
P		<0.001	<0.001	<0.001	0.005

组别	例数	住院时间(d)	肛门排气时间(h)	疼痛持续时间(d)	拔除胃管时间(h)
预见性护理组	30	10.11±0.98	35.46±5.39	6.04±0.71	25.39±3.44
快速康复护理理念组	30	10.01±0.84	35.45±6.69	5.89±0.77	25.69±5.14
联合组	30	8.11±0.84^*#	27.72±4.69^*#	4.64±0.62^*#	22.31±4.24^*#
F		48.195	18.735	35.895	5.602
P		<0.001	<0.001	<0.001	0.005

组别	例数	SDS评分		SAS评分
组别	例数	护理前	护理后	护理前	护理后
预见性护理组	30	67.45±7.01	48.44±5.44^&	68.12±6.89	47.16±5.66^&
快速康复护理理念组	30	67.48±6.47	48.69±6.11^&	67.99±7.23	46.89±6.12^&
联合组	30	67.98±7.36	35.39±3.68^*#&	68.55±7.31	37.69±4.65^*#&
F		0.055	64.732	0.050	28.711
P		0.947	<0.001	0.951	<0.001

Please choose a citation manager

Content to export