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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (03): 354-357. doi: 10.3877/cma.j.issn.1674-392X.2022.03.025

• Nursing Article • Previous Articles     Next Articles

Application of the surgical care pathway coordination model for pediatric laparoscopic hernia sac high ligation procedure

Yun Zhu1,(), Shaohua Wang1, Li Jiang2, Yao Lu1, Wei Liu3   

  1. 1. Operating Room, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China
    2. Department of Pediatric Surgery, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China
    3. Department of Anesthesiology, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China
  • Received:2021-09-23 Online:2022-06-20 Published:2022-07-08
  • Contact: Yun Zhu

Abstract:

Objective

To explore the application of the surgical care pathway coordination model to pediatric laparoscopic hernia sac high ligation.

Methods

Eighty children undergoing elective laparoscopic hernia sac high ligation from June 2019 to August 2021 in Bozhou People's Hospital in Anhui Province were selected, and the children were divided into group A and group B using the randomized number table method, with 40 cases in each group, and group A implemented conventional care while group B implemented the surgical care pathway coordination model. The time spent on surgery, the agitation scores of the children during the awakening period, the recovery of the children's physical indicators after surgery, and the satisfaction of the children's families with the care were compared between the two groups.

Results

The time taken for the children in group B to enter the operating room and start the operation, the time taken to cut the skin and finish the suture, and the time taken to apply the dressing film and leave the operating room were significantly lower than those in group A (P<0.05); the agitation scores of the children in group B were significantly lower than those in group A immediately after admission to the monitoring room, at 10, 20, and 30 minutes (P<0.05); the time taken for the children in group B to The time to deflation, time to defecation and length of hospital stay were significantly lower in group B than in group A (P<0.05); the satisfaction of family members of children in group B was significantly higher than in group A (P<0.05).

Conclusion

The application of the surgical care pathway in pediatric laparoscopic hernia repair surgery can shorten the operation time, significantly reduce the agitation of children during recovery from anesthesia, and have high nursing satisfaction, which is worthy of clinical promotion.

Key words: Hernia, inguinal, Children, Laparoscopes, High ligation, Surgical care pathway coordination model

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