Influence of individualized nursing on postoperative pain and comfort in patients with tension-free inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2024.04.021

Abstract

Abstract:

Objective

To explore the influence of individualized nursing on postoperative pain and comfort in patients with tension-free inguinal hernia repair.

Methods

Using the convenient sampling method, 90 patients with tension-free inguinal hernia repair in Lujiang County Hospital of Traditional Chinese Medicine from June 2021 to June 2023 were selected to participate in the study. They were randomly divided into 45 cases in control group and 45 cases in observation group. The control group was given conventional nursing mode, while the observation group was given individualized nursing. Postoperative pain, and psychological resilience, disease coping style, comfort and nursing satisfaction before and after intervention were compared between the two groups.

Results

The pain score in the two groups at 12, 24 and 48 h after surgery was gradually decreased with the extension of time, and the difference at different time points within the groups was statistically significant (P<0.05), and the pain score in observation group at each time point was significantly lower than that in control group (P<0.05). After intervention, the CD-RISC scores (tenacity, optimism and self-improvement) in both groups were higher than those before intervention (P<0.05), and the CD-RISC scores in observation group after intervention were significantly higher than those in control group (P<0.05). After intervention, the score of positive coping style in both groups was higher (P<0.05), and the score of negative coping style was lower than before intervention (P<0.05), and there were significant differences in the scores between observation group and control group after intervention (P<0.05). The comfort scores (environment, psychology, physiology and social-culture) in observation group were significantly higher compared to control group after intervention (P<0.05). Nursing satisfaction scores (nursing technique, nurse-patient communication, ward environment and health education) were significantly higher in observation group than those in control group (P<0.05).

Conclusion

The application of individualized nursing in patients with tension-free inguinal hernia repair can effectively relieve postoperative pain, improve psychological resilience, and enhance comfort and nursing satisfaction.

Key words: Individualized nursing, Hernia, inguinal, Herniorrhaphy, Comfort, Pain

Shuying Xu, Wang Zhang, Ling Wang, Zhaofeng Jiang. Influence of individualized nursing on postoperative pain and comfort in patients with tension-free inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(04): 461-465.

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Figures/Tables 6

References 20

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组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数(kg/m²,±s)	文化水平[例(%)]			疝的类型[例(%)]
组别	例数	男性	女性	年龄(岁,±s)	体重指数(kg/m²,±s)	初中及以下	高中及中专	大专及以上	直疝	斜疝
观察组	45	43(95.56)	2(4.44)	52.38±7.29	26.48±1.59	14(31.11)	19(42.22)	12(26.67)	14(31.11)	31(68.89)
对照组	45	44(97.78)	1(2.22)	52.13±7.02	26.39±1.37	17(37.78)	15(33.33)	13(28.89)	12(26.67)	33(73.33)
χ²/t值		0.345		0.166	0.288	0.801			0.216
P值		0.557		0.869	0.774	0.670			0.642

组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数(kg/m²,±s)	文化水平[例(%)]			疝的类型[例(%)]
组别	例数	男性	女性	年龄(岁,±s)	体重指数(kg/m²,±s)	初中及以下	高中及中专	大专及以上	直疝	斜疝
观察组	45	43(95.56)	2(4.44)	52.38±7.29	26.48±1.59	14(31.11)	19(42.22)	12(26.67)	14(31.11)	31(68.89)
对照组	45	44(97.78)	1(2.22)	52.13±7.02	26.39±1.37	17(37.78)	15(33.33)	13(28.89)	12(26.67)	33(73.33)
χ²/t值		0.345		0.166	0.288	0.801			0.216
P值		0.557		0.869	0.774	0.670			0.642

组别	例数	术后12 h	术后24 h	术后48 h
观察组	45	5.21±0.97	4.20±1.10^a	3.65±1.22^ab
对照组	45	5.99±0.74	4.98±0.87^a	4.20±1.17^ab
F值		F_组间=7.59；F_时间=18.10；F_交互=22.12
P值		P_组间<0.001；P_时间<0.001；P_交互<0.001

组别	例数	术后12 h	术后24 h	术后48 h
观察组	45	5.21±0.97	4.20±1.10^a	3.65±1.22^ab
对照组	45	5.99±0.74	4.98±0.87^a	4.20±1.17^ab
F值		F_组间=7.59；F_时间=18.10；F_交互=22.12
P值		P_组间<0.001；P_时间<0.001；P_交互<0.001

组别	例数	坚韧			乐观			自强
组别	例数	干预前	干预后	差值	干预前	干预后	差值	干预前	干预后	差值
观察组	45	21.13±2.20	30.79±1.82^a	9.66±2.01	24.22±1.82	31.05±1.78^a	6.83±1.80	24.51±3.09	32.15±3.10^a	7.64±3.10
对照组	45	21.25±1.99	25.63±2.03^a	4.38±2.01	24.64±2.25	26.36±1.95^a	1.72±2.10	24.25±2.03	28.29±2.71^a	4.04±2.37
t值		0.271	12.696	12.460	0.974	11.916	12.394	0.472	6.289	6.189
P值		0.787	<0.001	<0.001	0.333	<0.001	<0.001	0.638	<0.001	<0.001

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