腹股沟疝日间手术患者延续护理的效果评价

发布时间：2018-07-12 10:58

本文选题：日间手术 + 延续护理　；参考：《现代临床医学》2016年06期

【摘要】：目的:评价延续护理对促进腹股沟疝日间手术后患者康复的效果。方法:选取科室行"通过腹腔镜疝囊高位结扎术"的日间手术患者364例。对照组接受常规护理和出院指导,在出院后72 h及7 d进行电话随访。试验组在此基础上采取电话随访和网络平台的方式实施延续护理,分别在出院后6 h、24 h、48 h、72 h及7 d,使用科室制定的《日间手术康复评价表》进行健康指导和效果监测。结果:干预后试验组患者再就诊率和术后排便异常、发热、切口感染发生率低于对照组(P0.05或P0.01),试验组患者满意度优于对照组(P0.01)。结论:对腹股沟疝日间手术患者出院后实施延续护理,能有效降低出院后再就诊率、并发症发生率,提高患者满意度,确保日间手术的有效性和安全性。
[Abstract]:Objective: to evaluate the effect of continuous nursing on the rehabilitation of patients with inguinal hernia after day operation. Methods: 364 patients undergoing laparoscopic high ligation of hernia sac were selected. The control group received routine nursing and discharge guidance, followed up 72 hours and 7 days after discharge by telephone. On this basis, the trial group adopted telephone follow-up and network platform to carry out continuous nursing care. The health guidance and effect monitoring were carried out at 6 h, 24 h, 48 h, 72 h and 7 d, respectively. Results: after intervention, the rate of re-visit, abnormal defecation, fever and incision infection in the experimental group were lower than those in the control group (P0.05 or P0.01), and the satisfaction degree of the patients in the experimental group was better than that in the control group (P0.01). Conclusion: continuous nursing care for patients with inguinal hernia after discharge from hospital can effectively reduce the rate of revisiting after discharge, increase the rate of complications, improve the satisfaction of patients, and ensure the effectiveness and safety of day operation.
【作者单位】：宜昌市第一人民医院甲乳与小儿外科;三峡大学人民医院甲乳与小儿外科;
【分类号】：R473.6

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