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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (06): 755-758. doi: 10.3877/cma.j.issn.1674-392X.2023.06.020

• Article • Previous Articles     Next Articles

The effectiveness of comprehensive nursing in the operating room for inguinal hernia surgery

Hongyan Wang(), Yanli Ma, Jiecan Zheng   

  1. Operating Room, Mengcheng Traditional Chinese Medicine Hospital, Bozhou, Anhui 233500, China
  • Received:2022-12-27 Online:2023-12-18 Published:2023-12-27
  • Contact: Hongyan Wang

Abstract:

Objective

To explore the nursing effects of comprehensive care in the operating room for patients undergoing hernia repair surgery for inguinal hernia.

Methods

This study included 80 patients with inguinal hernia who underwent surgery at Mengcheng Traditional Chinese Medicine Hospital from January 2021 to July 2022. They were randomly divided into a control group and an observation group, each with 40 patients, using a computer-generated random number method. The control group received routine operating room nursing care, while the observation group received comprehensive nursing care interventions before, during, and after the surgery. The nursing outcomes of the two groups were compared. Evaluation and analysis indicators included: operating room stay time, time to first getting out of bed, duration of pain, total hospital stay, nursing satisfaction, anxiety, depression, HADS (Hospital Anxiety and Depression Scale) scores, postoperative complication rates, and surgical incision healing.

Results

The operating room stay time (23.53±2.75 hours), time to first getting out of bed (10.36±4.97 hours), duration of pain (25.39±5.83 hours), and total hospital stay (4.80±1.92 days) in the observation group were all significantly lower than those in the control group (28.69±3.06 hours, 17.58±6.31 hours, 30.14±6.47 hours, and 6.75±2.68 days respectively), with statistically significant differences (P<0.05). At admission, there were no significant differences in anxiety, depression, or HADS scores between the two groups (P>0.05). On the first day after surgery, anxiety, depression, and HADS scores in both groups decreased compared to admission, and the scores in the control group were significantly higher than those in the observation group (P<0.05). The nursing satisfaction rate in the observation group (95.00%) was significantly higher than that in the control group (77.50%) (P<0.05). The total incidence rate of complications in the observation group (2.50%) was significantly lower than that in the control group (15.0%) (P<0.05). The healing of surgical incisions in the observation group was significantly better than that in the control group (P<0.05).

Conclusion

Comprehensive nursing care in the operating room can effectively shorten the operating room stay, postoperative hospitalization, and pain duration for patients undergoing hernia repair for inguinal hernia. It significantly alleviates negative emotions such as anxiety and depression, improves patient nursing satisfaction, reduces the incidence of postoperative complications, and accelerates the healing of surgical incisions.

Key words: Nursing, Hernia, inguinal, Herniorrhaphy

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