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目的:探讨综合护理干预对小儿腹股沟疝手术患儿离床时间、术后疼痛程度及患儿与父母满意度的影响,为提升疝气患儿手术治疗的疗效及安全性提供参考。方法:选择我院2016年1月~2017年1月行手术治疗的疝气患儿220例作为研究对象,将其采用数字随机表法等分为对照组和观察组,对照组采用小儿腹股沟疝围术期护理路径实施护理;观察组采用综合护理干预(围术期心理干预、水胶体透明贴覆盖手术切口、个性化护理方案等)对患儿实施围手术期护理。比较两组患儿术后下床时间,术后6,12,24 h及2 d手术切口可视疼痛评分,观察患儿术后住院时间、住院治疗费用、术后并发症、术后患儿及父母对手术及护理的满意度。结果:观察组患儿的下床时间、住院时间短于对照组患儿,住院治疗费用低于对照组,两组比较差异有统计学意义(P<0.05)。观察组患儿术后6,12,24 h及2 d的疼痛评分均明显低于对照组患儿,两组比较差异具有统计学意义(P<0.05)。观察组患儿并发症发生少于对照组,但组间比较差异无统计学意义(P>0.05)。观察组患儿和父母对手术及护理的满意率高于对照组,两组比较差异均有统计学意义(P<0.05)。结论:综合护理干预模式可有效改善小儿腹股沟疝手术患儿的临床指标,降低患儿并发症发生率,提高患儿及父母对手术及护理服务的满意率。
Objective: To investigate the effect of comprehensive nursing intervention on the time of leaving bed, the degree of postoperative pain and the satisfaction of children with parents in children with inguinal hernia surgery, so as to provide references for improving the efficacy and safety of surgical treatment in children with hernia. Methods: A total of 220 children with hernia underwent surgical treatment from January 2016 to January 2017 in our hospital were selected as the research object. The patients were divided equally into the control group and the observation group using the digital random table method. The control group was treated with inguinal hernia During the period of nursing, patients in the observation group were treated with comprehensive nursing intervention (perioperative psychological intervention, hydrocolloid transparent stick covering surgical incision, personalized nursing program, etc.). The time of going to bed, the visual acuity scores at 6, 12, 24 h and 2 d after operation were compared between the two groups, and the postoperative hospital stay, hospitalization costs, postoperative complications, postoperative children And parents’ satisfaction with surgery and nursing. Results: The bed time and hospital stay of the observation group were shorter than that of the control group, and the hospitalization cost was lower than that of the control group. There was significant difference between the two groups (P <0.05). The scores of pain in observation group at 6, 12, 24 h and 2 d after operation were significantly lower than those in control group. The differences between the two groups were statistically significant (P <0.05). The incidence of complications in the observation group was less than that in the control group, but there was no significant difference between the two groups (P> 0.05). The satisfaction rate of operation and nursing in observation group children and parents was higher than that in control group, the difference was statistically significant (P <0.05). Conclusion: The comprehensive nursing intervention model can effectively improve the clinical indexes of pediatric patients with inguinal hernia surgery, reduce the incidence of complication in children and improve the satisfaction rate of operation and nursing services for children and parents.