临床护理路径在腹股沟疝无张力修补术中的应用效果

摘要

目的 探讨临床护理路径在腹股沟疝无张力修补术中的应用效果.方法 选取2016年2月至2017年7月,儋州市人民医院行腹股沟疝无张力修补术的144例腹股沟疝患者为研究对象,根据围术期护理方法的不同进行分组,分为研究组及对照组,各72例.研究组采取临床护理路径,对照组采取常规护理.比较2组术后疼痛状况及相关临床指标,观察2组术后并发症及疾病复发情况.结果 研究组住院时间及术后卧床时间等均较对照组显著缩短,住院总费用较对照组减少,差异均均有统计学意义(P＜0.05).自术前至出院前1d2组VAS评分均显著下降,差异有统计学意义(P＜0.01),且除术前外各时间点研究组均显著低于对照组,差异有统计学意义(P＜0.05).术后研究组并发症发生率及复发率均显著低于对照组,差异有统计学意义(P＜0.05).结论 在腹股沟疝无张力修补术中依据临床护理路径进行护理可有效减轻患者疼痛感,降低术后并发症及复发风险,有利于患者康复,因此值得推广.%Objective To explore the application effect of clinical nursing pathway in tension-free repair of inguinal hernia.Methods 144 patients with inguinal hernia who underwent tension-free repair in Danzhou People's Hospital from February 2016 to July 2017 were selected as the study subjects,they were divided into the study group and the control group according to the different perioperative nursing methods,72 cases in each group.The study group adopted clinical nursing pathway,while the control group received routine nursing.The postoperative pain status and related clinical indicators were compared between the 2 groups,and the postoperative complications and disease recurrence were observed.Results Hospitalization time and postoperative bed rest time in the study group were significantly shorter than those in the control group,and total hospitalization costs were lower than those in the control group (P＜0.05).The VAS scores of the 2 groups decreased significantly from preoperative to 1 day before discharge (P＜0.01),and the VAS scores of the study group were significantly lower than those of the control group at all time points except preoperative (P＜0.05).The incidence and recurrence rate of complications in the study group were significantly lower than those in the control group (P＜0.05).Conclusion Nursing in tension-free repair of inguinal hernia according to clinical nursing pathway can effectively reduce the pain,postoperative complications and the risk of recurrence.It is beneficial to the recovery of patients,an is worth popularizing.