摘要
目的探究普适化结合个体化双轨护理在老年腹股沟疝无张力修补术围手术期的应用。方法选取2019年5月至2022年2月武汉市第一医院收治的76例老年腹股沟疝无张力修补术患者为研究对象,采用随机数字表法分为对照组与试验组各38例,对照组患者围手术期给予常规护理干预,试验组患者围手术期给予普适化结合个体化双轨护理干预。比较2组患者的心理状况[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、简易疾病感知问卷(BIPQ)评分]、术后3 d疼痛程度[视觉模拟评分(VAS)、现时疼痛强度(PPI)评分、疼痛分级指数(PRI)]、并发症发生情况、护理依从性、住院时间及护理满意度。结果试验组患者SAS及SDS评分低于对照组,BIPQ评分高于对照组(P<0.05);试验组患者术后3 d疼痛VAS、PPI及PRI评分均低于对照组(P<0.05);试验组总并发症发生率低于对照组(P<0.05);试验组护理依从性高于对照组(P<0.05);试验组住院时间短于对照组(P<0.05);试验组护理满意度高于对照组(P<0.05)。结论老年腹股沟疝无张力修补术采取普适化结合个体化双轨护理措施,可显著改善患者的身心病情状况,提高患者护理依从性,缩短住院时围手术期间,提高患者护理满意度。
Objective To explore the application of universal combined with individualized dual track nursing in the perioperative period of tension-free inguinal hernia repair in the elderly.Methods A total of 76 elderly patients with tension-free inguinal hernia repair admitted to Wuhan NO.1 Hospital from May 2019 to February 2022 were selected and divided into control group and experimental group by random number table method,with 38 cases in each group.Routine nursing intervention was applied to the control group,and universal combined with individualized dual track nursing intervention was applied to the experimental group.The changes of psychological status[self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,brief illness perception questionnaire(BIPQ)score],pain degree 3 days after operation[visual analogue scale(VAS)score,present pain intensity(PPI)score,pain rating index(PRI)score],complications,nursing compliance,length of stay in hospital and nursing satisfaction were compared between the two groups.Results The SAS and SDS scores were lower in the experimental group than in the control group,and BIPQ scores was higher in the experimental group than in the control(P<0.05).The VAS,PPI and PRI scores were also lower in the experimental group compared to the control group 3 days after operation(P<0.05).The incidence of complications was lower in the experimental group compared to the control group(P<0.05).The nursing compliance was higher in the experimental group than in the control group(P<0.05).The length of hospital stays was shorter in the experimental group than in the control group(P<0.05).The nursing satisfaction was higher in the experimental group compared to the control group(P<0.05).Conclusion The adoption of universal combined with individualized dual track nursing measures for elderly patients undergoing tension-free inguinal hernia repair can significantly improve their physical and mental conditions and nursing compliance,shorten perioperative length of stay in hospital,improve patients'their satisfaction with nursing.
作者
朱迪
欧阳钒
杨丹
华敏
吴倩
Zhu Di;Ouyang Fan;Yang Dan;Hua Min;Wu Qian(Operating Room,Wuhan NO.1 Hospital,Wuhan,Hubei 433000,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2023年第5期630-634,共5页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
围手术期
双轨护理
Hernia,inguinal
Herniorrhaphy
Perioperative period
Dual track nursing
作者简介
通信作者:朱迪,Email:zhudi52670@163.com
