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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (06): 638-641. doi: 10.3877/cma.j.issn.1674-392X.2020.06.013

Special Issue:

• Clinical Article • Previous Articles     Next Articles

Effect of Roy's adaptation mode on the recovery of tension-free herniorrhaphy

Zhixin Long1,(), Kunling Lu2, Hongguang Sun3   

  1. 1. Operation room, the Second Hospital of Qinhuangdao, Hebei 241000, China
    2. Department of Gastroenterology, the First Hospital of Qinhuangdao, Hebei 066000, China
    3. Department of Anesthesiology, the Second Hospital of Qinhuangdao, Hebei 241000, China
  • Received:2019-12-31 Online:2020-12-20 Published:2020-12-20
  • Contact: Zhixin Long

Abstract:

Objective

To explore the effect of Roy's adaptation model on the recovery of patients with inguinal hernia after tension-free hernia repair.

Methods

From January 2016 to May 2019, 120 patients with inguinal hernia who were selected for tension-free repair in the Second hospital of Qinhuangdao were divided into control group and observation group according to the random number method, with 60 cases in each group. The control group was treated with routine nursing, and the observation group was treated with Roy adaptation mode on the basis of the control group. The clinical indexes, psychological state, perioperative complications and satisfaction of the two groups were compared.

Results

The time of first exhaust, return to the normal diet, leaving bed and postoperative hospitalization stay in the observation group were lower than those in the control group (P<0.05). The scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in the observation group were significantly lower than those in the control group (P<0.05). There was no incision infection in the two groups. There was no significant difference in the incidence of urinary retention, acute pain, cognitive disorder, fever and hematoma between the two groups (P>0.05). The nursing satisfaction of patients in observation group was significantly higher than that in control group (96.67% vs 83.33%, P<0.05).

Conclusion

On the basis of routine care, the Roy adaptation model for patients with inguinal hernia tension-free hernia repair during the perioperative period can effectively improve postoperative patients' anxiety/depression, reduce the occurrence of perioperative complications, and promote recovery and improve treatment satisfaction.

Key words: Hernia, inguinal, Roy's adaptation model, Anxiety, Depression, Complication

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