术前访视联合循证护理对改善腹股沟疝修补术患者应激状态的影响

目的探讨术前访视联合循证护理对改善腹股沟疝修补术患者应激状态的影响。 方法选取2020年6月至2021年8月西南医科大学附属医院收治的104例患者作为研究对象，根据护理方法不同分为2组，每组患者52例。对照组患者进行常规护理干预，干预组患者进行术前访视联合循证护理干预。对比分析2组患者干预后视觉模拟评分法（VAS）、术后恢复情况、心理状态、并发症发生情况及满意度。 结果2组患者在术前VAS评分比较，差异无统计学意义（P>0.05）；干预组在术后12、24、48 h VAS评分均显著低于对照组，差异有统计学意义（P<0.05）。干预组下床活动时间、开始进食时间、术后肛门排气时间、肠鸣音恢复时间、住院天数均显著低于对照组，差异均有统计学意义（P<0.05）。2组患者干预前SDS和SAS评分比较，差异无统计学意义（P>0.05）；并且干预后所有患者SDS评分和SAS评分均明显下降，且干预组SDS评分和SAS评分均显著低于对照组，差异有统计学意义（P<0.05）。干预组患者总并发症率低于对照组，差异有统计学意义（P<0.05）。干预组护理满意度显著高于对照组，差异有统计学意义（P<0.05）。 结论术前访视联合循证护理可有效减轻腹股沟患者疼痛，提高康复质量，加速患者康复，缓解患者心理状况和应激状态，提高患者满意度。

Effect of preoperative visit combined with evidence-based nursing on improving stress state of patients undergoing inguinal hernia repair

ObjectiveTo investigate the effect of preoperative visit combined with evidence-based nursing on improving the stress state of patients undergoing inguinal hernia repair. Methods104 patients admitted to the Affiliated Hospital of Southwest Medical University from June 2020 to August 2021 were selected as the research subjects. Patients were divided into two groups according to different nursing methods, with 52 patients in each group. The control group received routine nursing intervention, and the intervention group received preoperative visit combined with evidence-based nursing interventions. The visual analogue scale (VAS) score, postoperative recovery, psychological state, complications and satisfaction were compared between the two groups after intervention. ResultsThere was no significant difference in VAS scores between the two groups before the intervention (P>0.05). The VAS scores of the intervention group were significantly lower than those of the control group at 12, 24, and 48 hours after the intervention (P<0.05). The times of getting out of bed, starting to eat, postoperative anal exhaust, bowel sound recovery, and the length of hospital stay in the intervention group was significantly lower than those in the control group (P<0.05). There was no significant difference in SDS and SAS scores between the two groups before the intervention (P>0.05). After intervention, the SDS and SAS scores of all patients were significantly decreased, and the SDS and SAS scores of the intervention group were significantly lower than those of the control group (P<0.05). The incidence of postoperative complications in the intervention group was significantly lower than that of the control group, the difference was statistically significant (P<0.05). The nursing satisfaction of intervention group was significantly higher than that of control group, and the difference was statistically significant (P<0.05). ConclusionPreoperative visit combined with evidence-based nursing can effectively relieve pain in patients with inguinal hernia, improve the quality of rehabilitation, accelerate patients' recovery, relieve patients' psychological and stress state, and improve patients’ satisfaction.