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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (06): 768-772. doi: 10.3877/cma.j.issn.1674-392X.2023.06.023

• Article • Previous Articles     Next Articles

Application of early warning intervention based on risk assessment in perioperative nursing of children with inguinal hernia

Lei Wang, Shaohua Wang, Haizhen Niu, Tengfei Yin()   

  1. Surgery Anesthesiology, Bozhou People's Hospital, Bozhou, Anhui 236800, China
    Pediatric Surgery and Hernia Abdominal Wall Surgery, Bozhou People's Hospital, Bozhou, Anhui 236800, China
  • Received:2023-04-13 Online:2023-12-18 Published:2023-12-27
  • Contact: Tengfei Yin

Abstract:

Objective

To investigate the application of early warning intervention based on risk assessment in perioperative nursing of children with indirect inguinal hernia.

Methods

Clinical data of 210 children with indirect inguinal hernia who were admitted to Bozhou People's Hospital from January 2020 to January 2022 were analyzed retrospectively. Children who received routine nursing intervention from January to December 2020 were included in the control group (n=103) and those who received early warning intervention based on risk assessment from January 2021 to January 2022 were included in the observation group (n=107). Surgical and hospitalization conditions, adverse emotions, the incidence of nursing risk events, nursing satisfaction and complications were compared between the two groups.

Results

There was no significant difference in surgical time and intraoperative blood loss between the two groups (P>0.05). Hospital stay and Hospitalization costs of the observation group [(2.05±0.34) d and (2446.72±256.73) yuan] were shorter/less than those of the control group [(3.16±0.86) days and (4083.46±283.18) yuan] (P<0.05). After intervention, the Screen for Child Anxiety Related Emotional Disorders (SCARED) scores and Depression Self Rating Scale for Children (DSRSC) scores decreased in both groups. The scores of the observation group [(16.55±1.49) and (12.18±1.05)] were lower than those of the control group [(19.64±1.85) and (15.14±1.37)] (P<0.05). The incidence of nursing risk events in the observation group (6.54%) was significantly lower than that in the control group (21.36%) (P<0.05), and nursing satisfaction rate was significantly higher in the observation group (92.52%) than that in the control group (83.50%) (P<0.05).

Conclusion

Applying perioperative early warning intervention based on risk assessment to children with indirect inguinal hernia can reduce the length of hospital stay and hospitalization costs, improve adverse emotions, reduce risk events and improve nursing satisfaction.

Key words: Hernia, inguinal, Child, Risk assessment, Early warning intervention, Perioperative period, Nursing

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