Effect of preoperative visit combined with evidence-based nursing on improving stress state of patients undergoing inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2022.04.022

Abstract

Abstract:

Objective

To investigate the effect of preoperative visit combined with evidence-based nursing on improving the stress state of patients undergoing inguinal hernia repair.

Methods

104 patients admitted to the Affiliated Hospital of Southwest Medical University from June 2020 to August 2021 were selected as the research subjects. Patients were divided into two groups according to different nursing methods, with 52 patients in each group. The control group received routine nursing intervention, and the intervention group received preoperative visit combined with evidence-based nursing interventions. The visual analogue scale (VAS) score, postoperative recovery, psychological state, complications and satisfaction were compared between the two groups after intervention.

Results

There was no significant difference in VAS scores between the two groups before the intervention (P>0.05). The VAS scores of the intervention group were significantly lower than those of the control group at 12, 24, and 48 hours after the intervention (P<0.05). The times of getting out of bed, starting to eat, postoperative anal exhaust, bowel sound recovery, and the length of hospital stay in the intervention group was significantly lower than those in the control group (P<0.05). There was no significant difference in SDS and SAS scores between the two groups before the intervention (P>0.05). After intervention, the SDS and SAS scores of all patients were significantly decreased, and the SDS and SAS scores of the intervention group were significantly lower than those of the control group (P<0.05). The incidence of postoperative complications in the intervention group was significantly lower than that of the control group, the difference was statistically significant (P<0.05). The nursing satisfaction of intervention group was significantly higher than that of control group, and the difference was statistically significant (P<0.05).

Conclusion

Preoperative visit combined with evidence-based nursing can effectively relieve pain in patients with inguinal hernia, improve the quality of rehabilitation, accelerate patients' recovery, relieve patients' psychological and stress state, and improve patients’ satisfaction.

Key words: Hernia, inguinal, Evidence-based nursing, Herniorrhaphy, Stress state, Pain

Shenhong Zhang, Daiying Zhang, Wenxue Deng, Ronghui Huang, Yunlei Zhang, Ruichen Liang. Effect of preoperative visit combined with evidence-based nursing on improving stress state of patients undergoing inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 463-467.

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References 19

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组别	例数	术前	术后12 h	术后24 h	术后48 h
干预组	52	0.21±1.46	4.88±0.78	3.60±1.21	1.04±0.85
对照组	52	0.23±1.08	5.69±1.08	4.54±1.05	2.06±0.84
t值		1.509	9.797	4.231	6.155
P值		0.134	<0.01	<0.01	<0.01

组别	例数	术前	术后12 h	术后24 h	术后48 h
干预组	52	0.21±1.46	4.88±0.78	3.60±1.21	1.04±0.85
对照组	52	0.23±1.08	5.69±1.08	4.54±1.05	2.06±0.84
t值		1.509	9.797	4.231	6.155
P值		0.134	<0.01	<0.01	<0.01

组别	例数	下床活动时间(h)	开始进食时间(h)	术后肛门排气时间(h)	肠鸣音恢复时间(h)	住院天数(d)
干预组	52	9.98±2.81	7.04±1.33	4.92±2.46	1.19±0.81	4.85±1.77
对照组	52	12.54±1.88	9.88±1.86	6.69±1.69	2.06±0.86	5.69±2.26
t值		5.460	8.956	4.277	5.310	2.110
P值		<0.01	<0.01	<0.01	<0.01	0.037

组别	例数	下床活动时间(h)	开始进食时间(h)	术后肛门排气时间(h)	肠鸣音恢复时间(h)	住院天数(d)
干预组	52	9.98±2.81	7.04±1.33	4.92±2.46	1.19±0.81	4.85±1.77
对照组	52	12.54±1.88	9.88±1.86	6.69±1.69	2.06±0.86	5.69±2.26
t值		5.460	8.956	4.277	5.310	2.110
P值		<0.01	<0.01	<0.01	<0.01	0.037

组别	例数	SDS评分		SAS评分
组别	例数	术前	术后1周	术前	术后1周
干预组	52	59.58±6.42	30.50±6.04^*	55.15±4.04	30.46±5.71^*
对照组	52	59.54±6.29	40.79±6.02^*	54.96±3.68	40.35±5.26^*
t值		0.032	8.701	0.251	9.186
P值		0.975	<0.01	0.803	<0.01

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