罗伊适应模式对腹股沟疝无张力疝修补术后恢复情况的影响

目的探讨罗伊适应模式对患者腹股沟疝无张力疝修补术后恢复情况的影响。 方法将2016年1月至2019年5月在秦皇岛市第二医院择期进行无张力修补术治疗的120例腹股沟疝患者，按照随机数字法分为对照组和观察组，每组各60例。对照组采用常规护理治疗，观察组在对照组的基础上采用罗伊适应模式。比较2组患者的术后临床指标、心理状态、围手术期并发症发生情况及满意度。 结果术后观察组患者的首次排气时间、恢复正常饮食时间、离床活动时间和术后住院时间均低于对照组（P<0.05）；术后观察组患者的抑郁自评量表（SDS）和焦虑自评量表（SAS）评分显著低于对照组（P<0.05）；术后2组患者均无切口感染发生，2组患者尿潴留、急性疼痛、认知功能障碍、发热、血肿等发生率相比无统计学差异（P>0.05）；术后观察组患者护理满意度为96.67%，显著高于对照组的83.33%（P<0.05）。 结论在常规护理的基础上，罗伊适应模式用于患者腹股沟疝无张力修补围手术期，能有效改善术后患者的焦虑/抑郁情绪，不增加围手术期并发症，促进术后患者的恢复及提高治疗满意度。

Effect of Roy's adaptation mode on the recovery of tension-free herniorrhaphy

ObjectiveTo explore the effect of Roy's adaptation model on the recovery of patients with inguinal hernia after tension-free hernia repair. MethodsFrom January 2016 to May 2019, 120 patients with inguinal hernia who were selected for tension-free repair in the Second hospital of Qinhuangdao were divided into control group and observation group according to the random number method, with 60 cases in each group. The control group was treated with routine nursing, and the observation group was treated with Roy adaptation mode on the basis of the control group. The clinical indexes, psychological state, perioperative complications and satisfaction of the two groups were compared. ResultsThe time of first exhaust, return to the normal diet, leaving bed and postoperative hospitalization stay in the observation group were lower than those in the control group (P<0.05). The scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in the observation group were significantly lower than those in the control group (P<0.05). There was no incision infection in the two groups. There was no significant difference in the incidence of urinary retention, acute pain, cognitive disorder, fever and hematoma between the two groups (P>0.05). The nursing satisfaction of patients in observation group was significantly higher than that in control group (96.67% vs 83.33%, P<0.05). ConclusionOn the basis of routine care, the Roy adaptation model for patients with inguinal hernia tension-free hernia repair during the perioperative period can effectively improve postoperative patients' anxiety/depression, reduce the occurrence of perioperative complications, and promote recovery and improve treatment satisfaction.