摘要
目的探讨小儿腹股沟斜疝腹腔镜手术细节化护理干预效果。方法方便选取2019年9月—2020年9月期间该院收治的86例进行腹腔镜手术的小儿腹股沟斜疝患儿作为研究对象,根据随机数表法分为对照组(n=43)和观察组(n=43),对照组患儿采用常规护理,观察组患儿采用细节化护理,比较两组患儿手术指标和术后恢复指标,术后并发症发生率以及护理干预开展前后视觉模拟疼痛评分(VAS)及世界卫生组织生命质量量表(WHOQOL-100)评分。结果观察组手术时间(30.42±2.36)min,术中失血量(15.68±4.35)mL,术后肛门排气时间(20.14±2.58)h,术后饮食时间(6.23±1.48)h,下地时间(10.22±2.33)h,住院时间(5.88±2.14)d;对照组手术时间(42.31±2.45)min,术中失血量(28.72±3.67)mL,术后肛门排气时间(30.42±2.37)h,术后饮食时间(14.75±2.13)h,下地时间(18.65±2.41)h,住院时间(9.37±2.53)d,差异有统计学意义(t=22.919、15.024、19.242、21.540、16.491、6.906,P<0.05)。观察组患儿术后并发症发生率4.65%相比对照组25.58%更低,差异有统计学意义(χ^(2)=7.340,P<0.05)。护理前观察组VAS评分(4.21±0.62)分,WHOQOL-100评分(53.63±2.54)分,对照组VAS评分(4.25±0.65)分,WHOQOL-100评分(53.72±2.49)分,差异有统计学意义(t=0.229、0.166,P>0.05),护理后观察组VAS评分(1.38±0.15)分,WHOQOL-100评分(90.12±2.68)分,对照组VAS评分(2.74±0.21)分,WHOQOL-100评分(81.44±2.33)分,差异有统计学意义(t=34.557、16.028,P<0.05)。结论小儿腹股沟斜疝腹腔镜手术患儿开展细节化护理干预可缩短其住院时间,减轻疼痛,降低并发症风险和提升生命质量,因此建议进行临床推广。
Objective To investigate the effect of nursing intervention in children with indirect inguinal hernia in laparoscopic surgery.Methods From September 2019 to September 2020,86 children with indirect inguinal hernia in children undergoing laparoscopic surgery were conveniently selected as the research objects.According to the random number table method,they were divided into control group(n=43)and observation group(n=43),the children in the control group were treated with routine care,and the children in the observation group were treated with detailed care,the surgical indicators and postoperative recovery indicators,incidence of postoperative complications,visual analog pain score(VAS)and World Health Organization Quality of Life Scale(WHOQOL-100)scores before and after nursing intervention were compared between the two groups.Results Observation group operation time(30.42±2.36)min,intraoperative blood loss(15.68±4.35)mL,postoperative anal exhaust time(20.14±2.58)h,postoperative diet time(6.23±1.48)h,underground time(10.22±2.33)h,hospital stay(5.88±2.14)d;in the control group,the operative time was(42.31±2.45)min,the intraoperative blood loss was(28.72±3.67)mL,the postoperative anal exhaust time was(30.42±2.37)h,the postoperative diet time was(14.75±2.13)h,the underground time was(18.65±2.41)h,the hospital stay was(9.37±2.53)d,the difference was statistically significant(t=22.919,15.024,19.242,21.540,16.491,6.906;P<0.05).The incidence of postoperative complications in the observation group 4.65%was lower than that in the control group 25.58%,the difference was statistically significant(χ^(2)=7.340,P<0.05).Before nursing,VAS score of observation group was(4.21±0.62)points,WHOQOL-100 score was(53.63±2.54)points,VAS score of control group was(4.25±0.65)points,WHOQOL-100 score was(53.72±2.49)points,the difference was not statistically significant(t=0.229,0.166;P>0.05).After nursing,VAS score of observation group was(1.38±0.15)points,WHOQOL-100 score was(90.12±2.68)points,VAS score of control group
作者
林鉴莲
LIN Jianlian(Department of Surgery,Maternal and Child Health Hospital of Yangchun,Yangjiang,Guangdong Province,529600China)
出处
《中外医疗》
2021年第26期145-148,共4页
China & Foreign Medical Treatment
关键词
小儿腹股沟斜疝
腹腔镜手术
细节化护理
并发症
生命质量
Infantile inguinal hernia
Laparoscopic surgery
Detailed care
Complications
Quality of life
