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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (04): 455-458. doi: 10.3877/cma.j.issn.1674-392X.2022.04.020

• Clinical Article • Previous Articles     Next Articles

Application of intensive nursing based on clinical nursing pathway in perioperative of pediatric inguinal hernia

Yanyu Qiu1, Lingling Zhou1,(), Cui Liu1, Yahui Zhang1   

  1. 1. Department of Hepatobiliary Surgery, Huai'an First Hospital Affiliated to Nanjing Medical University, Huai'an 2233001, Jiangsu Province, China
  • Received:2022-01-03 Online:2022-08-18 Published:2022-08-23
  • Contact: Lingling Zhou

Abstract:

Objective

To explore the application effect of fine nursing based on the clinical nursing path in the perioperative period of pediatric inguinal hernia.

Methods

The 84 children with inguinal hernia undergoing transperitoneal hernia repair in our hospital from February 2020 to November 2021 were selected and divided into control and observation groups with 42 per group. The children in the control group received routine care, and the children in the observation group received refined care to observe the operation time, implantation activity time and hospitalization time of the two groups; the stress index at admission, before surgery and after awakening [adreno-cortico-tropic-hormone (ACTH), norepinephrine (NE)]; postoperative pain; nursing satisfaction; incidence of complications.

Results

The difference between the two children was not in the operation time (P>0.05), and the activity time and hospital time (P<0.05); Before and after surgery, the levels of ACTH and noradrenaline (NE) were lower than those in the control group (P<0.05); The degree of postoperative pain was compared between the two groups, and the overall pain degree of the observation group was lower than that of the control group (P<0.05); The incidence of postoperative complications was significantly lower in those observed than in the control group (P<0.05); Nursing satisfaction in the children was higher in the observation group than in the control group (P<0.05).

Conclusion

The implementation of fine care for children with inguinal hernia in the perioperative period can reduce the stress response, improve the bad mood, reduce the overall pain degree, and reduce the incidence of complications.

Key words: Hernia, inguinal, Clinical nursing path, Refinement nursing, Child

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