The application effect of preoperative psychological intervention based on biofeedback theory in patients undergoing inguinal hernia repair surgery

doi:10.3877/cma.j.issn.1674-392X.2026.03.019

Abstract

Abstract:

Objective

To explore the application effect of preoperative psychological care based on biofeedback theory in patients undergoing inguinal hernia repair surgery.

Methods

Patients with inguinal hernia repair admitted to the People's Hospital of Hai'an City from June 2020 to December 2022 were selected and randomly divided into experimental group and control group, with 60 cases in each group. The control group received routine preoperative nursing, and the experimental group received preoperative psychological nursing based on biofeedback theory on the basis of routine nursing. Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were used to evaluate the preoperative anxiety and depression levels of patients. Visual analog scale (VAS) was used to evaluate postoperative pain. Postoperative discomfort and recovery time were recorded.

Results

There were no significant differences in HAMA score and HAMD score between the experimental group and the control group on admission (P>0.05). After intervention, HAMA score and HAMD score of the experimental group were significantly lower than those of the control group before surgery (P<0.05). The postoperative VAS score of the experimental group was significantly lower than that of the control group (P<0.05). The number of postoperative nausea, vomiting, dizziness and other discomfort cases in the experimental group was significantly lower than that in the control group (P<0.05), and the recovery time of the experimental group was also significantly shorter than that in the control group (P<0.05).

Conclusion

Preoperative psychological care based on biofeedback theory has a significant effect on patients undergoing inguinal hernia repair surgery. It helps to reduce preoperative anxiety and depression levels, alleviate postoperative pain, improve postoperative discomfort, and shorten recovery time.

Key words: Hernia, inguinal, Biofeedback theory, Psychological nursing

Yunqing Guo, Minlu Zhou, Ye Yu. The application effect of preoperative psychological intervention based on biofeedback theory in patients undergoing inguinal hernia repair surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(03): 346-350.

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References 21

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异常情况	数值指标	应对策略	频率	注意事项
心率异常	心率过快：>100次/min；心率过慢：<60次/min	深呼吸练习、渐进性肌肉松弛训练、积极心理暗示	每天2~3次，每次10~15 min	避免在心率过快时进行剧烈运动
血压异常	高血压：收缩压≥140 mmHg或舒张压≥90 mmHg；低血压：收缩压<90 mmHg或舒张压<60 mmHg	深呼吸、渐进性肌肉松弛、冥想	每天2~3次，每次10~15 min	低血压患者在站立或改变体位时应避免突然站立
呼吸异常	呼吸急促：>20次/min；呼吸过慢：<12次/min	腹式呼吸或慢速深呼吸练习	每天2~3次，每次10~15 min	避免在空气质量差的环境中进行呼吸练习
肌肉紧张	肌肉紧张度评分：4分以上(满分5分)	渐进性肌肉松弛训练、瑜伽、太极	每天1~2次，每次20~30 min	肌肉损伤患者应在医师指导下进行
睡眠障碍	睡眠质量评分：<5分(满分10分)	深呼吸、渐进性肌肉松弛、冥想	每晚临睡前20~30 min	避免在临睡前接触光线强烈的电子屏幕
情绪波动	情绪波动评分：>4分(满分5分)	自我暗示、正念冥想、与他人沟通倾诉	每天1~2次，每次15~20 min	避免过度暴露于负面信息和压力环境
疼痛管理	疼痛程度评分：>4分(满分10分)	呼吸调节、积极心理暗示、冷热敷	根据疼痛程度，每次疼痛发作时	注意敷物的温度，避免过热或过冷造成伤害

异常情况	数值指标	应对策略	频率	注意事项
心率异常	心率过快：>100次/min；心率过慢：<60次/min	深呼吸练习、渐进性肌肉松弛训练、积极心理暗示	每天2~3次，每次10~15 min	避免在心率过快时进行剧烈运动
血压异常	高血压：收缩压≥140 mmHg或舒张压≥90 mmHg；低血压：收缩压<90 mmHg或舒张压<60 mmHg	深呼吸、渐进性肌肉松弛、冥想	每天2~3次，每次10~15 min	低血压患者在站立或改变体位时应避免突然站立
呼吸异常	呼吸急促：>20次/min；呼吸过慢：<12次/min	腹式呼吸或慢速深呼吸练习	每天2~3次，每次10~15 min	避免在空气质量差的环境中进行呼吸练习
肌肉紧张	肌肉紧张度评分：4分以上(满分5分)	渐进性肌肉松弛训练、瑜伽、太极	每天1~2次，每次20~30 min	肌肉损伤患者应在医师指导下进行
睡眠障碍	睡眠质量评分：<5分(满分10分)	深呼吸、渐进性肌肉松弛、冥想	每晚临睡前20~30 min	避免在临睡前接触光线强烈的电子屏幕
情绪波动	情绪波动评分：>4分(满分5分)	自我暗示、正念冥想、与他人沟通倾诉	每天1~2次，每次15~20 min	避免过度暴露于负面信息和压力环境
疼痛管理	疼痛程度评分：>4分(满分10分)	呼吸调节、积极心理暗示、冷热敷	根据疼痛程度，每次疼痛发作时	注意敷物的温度，避免过热或过冷造成伤害

组别	例数	年龄(岁,±s)	性别[例(%)]		腹股沟疝类型[例(%)]		体重指数(kg/m²,±s)	疝囊大小(cm,±s)	疝病史(月,±s)	合并症[例(%)]
组别	例数	年龄(岁,±s)	男性	女性	直	斜	体重指数(kg/m²,±s)	疝囊大小(cm,±s)	疝病史(月,±s)	合并症[例(%)]
试验组	60	45.81±8.62	36(60.00)	24(40.00)	32(53.33)	28(46.67)	24.31±3.24	3.42±0.81	12.75±6.31	11(18.33)
对照组	60	46.22±9.13	38(63.33)	22(36.67)	33(55.00)	27(45.00)	24.67±3.45	3.57±0.91	13.11±6.62	10(16.67)
t/χ²值		0.253	0.141		0.034		0.589	0.954	0.305	0.058
P值		0.801	0.707		0.855		0.557	0.342	0.761	0.810

组别	例数	年龄(岁,±s)	性别[例(%)]		腹股沟疝类型[例(%)]		体重指数(kg/m²,±s)	疝囊大小(cm,±s)	疝病史(月,±s)	合并症[例(%)]
组别	例数	年龄(岁,±s)	男性	女性	直	斜	体重指数(kg/m²,±s)	疝囊大小(cm,±s)	疝病史(月,±s)	合并症[例(%)]
试验组	60	45.81±8.62	36(60.00)	24(40.00)	32(53.33)	28(46.67)	24.31±3.24	3.42±0.81	12.75±6.31	11(18.33)
对照组	60	46.22±9.13	38(63.33)	22(36.67)	33(55.00)	27(45.00)	24.67±3.45	3.57±0.91	13.11±6.62	10(16.67)
t/χ²值		0.253	0.141		0.034		0.589	0.954	0.305	0.058
P值		0.801	0.707		0.855		0.557	0.342	0.761	0.810

组别	例数	HAMA评分		HAMD评分
组别	例数	入院时	术前	入院时	术前
试验组	60	14.06±2.61	14.26±2.85	12.44±2.45	12.61±2.66
对照组	60	14.17±2.75	18.54±3.17	12.51±2.57	16.13±2.95
t值		0.225	7.777	0.153	6.864
P值		0.823	<0.001	0.879	<0.001

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