临床护理路径应用于成年男性腹腔镜腹股沟疝无张力修补术围手术期的效果评价

doi:10.3969/j.issn.1009-976X.2018.02.027

摘要/Abstract

摘要： 目的　探讨临床护理路径在成年男性腹腔镜腹股沟疝修补术围手术期的应用及效果。方法　我科自2015年3月至2017年2月采用腹腔镜术式（完全腹膜外腹股沟疝无张力修补术，TEP）治疗成年男性腹股沟疝149例，依据护理方法将患者分为两组（住院号单号为路径组，双号为对照组）：路径组（72例）与对照组（77例）。观察组采用腹股沟疝临床护理路径对患者进行全面的宣教及干预,对照组采用一般护理宣教和干预。主要比较两种护理方式的总住院天数、术后住院天数、术后6h、24h疼痛评分、住院总费用、健康知识掌握情况及护理满意度等资料。结果　和对照组相比，路径组患者住院时间缩短、术后6h、24h疼痛评分明显降低，护理满意度比对照组明显增高（P<0.05）。结论　临床护理路径的应用降低了住院时间，减轻患者疼痛，提高护理满意度。

关键词: 腹股沟疝, 护理临床路径, 满意度

Abstract: Objective To explore the effects of clinical nursing path in the perioperative period of adult male laparoscopic inguinal hernia repair. Methods From March 2015 to February 2017, 149 cases of inguinal hernia in adult men were treated by laparoscopic surgery （totally extraperitoneal inguinal hernia without tension repair, TEP）. According to the nursing procedure, the patients were randomly divided into two groups：the path group （72 cases） and the control group （77 cases）. The observation group adopted the clinical nursing path of inguinal hernia for the patients to carry out comprehensive education and intervention, and the control group adopted general nursing education and intervention. The total length of hospital stay, postoperative hospitalization days, postoperative 6 h, 24 h pain score, total hospitalization expenses, health knowledge and nursing satisfaction of two nursing methods were compared. Results Compared with the control group, the patients in the path group had shorter hospitalization time, 6 h and 24 h postoperative pain score, and the nursing satisfaction was significantly higher than that in the control group （P<0.05）. Conclusion The application of clinical nursing path has reduced the time of hospitalization, alleviated the pain of the patients, and improved the satisfaction of nursing. It is worth popularizing.

Key words: inguinal hernia, satisfaction, clinical nursing pathway

中图分类号:

R473.6

刘俊青，邱怀玉，胡敏蝶，张美红. 临床护理路径应用于成年男性腹腔镜腹股沟疝无张力修补术围手术期的效果评价[J]. 岭南现代临床外科, 2018, 18(02): 233-236.

LIU Junqing, QIU Huaiyu, HU Mindie, ZHANG Meihong. Evaluation of the effect of clinical nursing pathway in the perioperative period of tension-free inguinal hernia repair in adult males[J]. Lingnan Modern Clinics in Surgery, 2018, 18(02): 233-236.

[1]	邓雪涌, 徐继威. 腹腔镜腹股沟疝修补术的研究进展及热点分析[J]. 岭南现代临床外科, 2024, 24(02): 136-140.
[2]	王德宁, 王鑫, 张克凡, 石辉. 前交叉韧带重建术后患者满意度影响因素研究进展[J]. 岭南现代临床外科, 2022, 22(04): 414-420.
[3]	李英儒, 甘文昌, 杨伟胜, 江志鹏, 周太成, 侯泽辉, 马宁, 陈双. 简化腹股沟区解剖理念在腔镜腹股沟疝修补术中的临床应用[J]. 岭南现代临床外科, 2021, 21(06): 651-653.
[4]	甘文昌, 李英儒, 周太成, 江志鹏, 侯泽辉, 马宁, 陈双. 成人腹股沟疝囊内面病理及细菌学观察[J]. 岭南现代临床外科, 2021, 21(05): 531-534.
[5]	詹尚欣, 刘鑫斌, 古旭莹, 江水华, 陈锭光, 张琳. 腔镜腹股沟疝修补术后并发血清肿的相关因素及防治策略探析[J]. 岭南现代临床外科, 2020, 20(06): 715-718.
[6]	梁文丰, 周建平, 廖子聪, 汤治平. 腹膜主动切开技术在腔镜全腹膜外疝修补术中保留子宫圆韧带的应用[J]. 岭南现代临床外科, 2020, 20(05): 577-581.
[7]	叶伟恒, 梁俊杰, 罗迦耀, 胡友主. 成人腹股沟疝外科治疗的个体化方案选择[J]. 岭南现代临床外科, 2020, 20(05): 650-653.
[8]	宋小锐, 林齐睿, 周万邦, 钟立明, 尹耀新, 熊沛, 欧希, 林泽伟, 刘吉奎, 刘晓平. 经腹探查全腹膜外腹腔镜腹股沟疝修补术的临床研究[J]. 岭南现代临床外科, 2020, 20(04): 416-420.
[9]	李佳奇, 姜海平. 局麻腹膜前间隙修补术在老年腹股沟疝的治疗进展[J]. 岭南现代临床外科, 2020, 20(04): 535-539.
[10]	刘业星，张冬辉，庄哲宏，张剑宝，梁智浩. Lichtenstein疝修补术治疗长期使用抗凝药物的老年腹股沟疝病人的临床观察[J]. 岭南现代临床外科, 2019, 19(05): 559-562.
[11]	丁凤华，梁冬红，吴丽英. 无痛理念对泌尿外科门诊手术患者术后疼痛及满意度的影响[J]. 岭南现代临床外科, 2019, 19(04): 507-509.
[12]	黄进团，陈伟立，杨和验. TAPP术式中不同补片的使用效果和经验[J]. 岭南现代临床外科, 2019, 19(03): 272-275.
[13]	陈秋凯，吴海丰，郑旭青，谢阗，袁阳春. 开放式腹膜前间隙UHS疝修补术与Lichtenstein修补术后并发症分析[J]. 岭南现代临床外科, 2019, 19(03): 276-284.
[14]	张士节1，3，田佩凯2，藏守阁3，刘晓平1，3*，欧希3，刘吉奎3. 腹腔镜下完全腹膜外疝修补术治疗老年单侧腹股沟疝的随机对照研究[J]. 岭南现代临床外科, 2019, 19(01): 52-56.
[15]	汤福鑫，周太成，江志鹏，李英儒，马宁，甘文昌，侯泽辉，余卓敏，刘伟，陈双*. 经腹腔腹膜前与完全腹膜外入路腹股沟疝修补术后2 年的队列研究[J]. 岭南现代临床外科, 2018, 18(05): 518-523.

临床护理路径应用于成年男性腹腔镜腹股沟疝无张力修补术围手术期的效果评价

Evaluation of the effect of clinical nursing pathway in the perioperative period of tension-free inguinal hernia repair in adult males

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics