专科化访视在腹腔镜食管裂孔疝修补术术前访视中的应用

目的探讨专科化术前访视在腹腔镜食管裂孔疝修补手术中应用的效果。 方法回顾性分析2010年1月至2015年9月，新疆维吾尔自治区人民医院手术室接受腹腔镜食管裂孔疝修补手术的246例患者的病例资料，其中行专科化术前访视140例(实验组)，采用常规术前访视106例(对照组)。分析2组患者术前1 d的焦虑情况及术后第2 d的护理满意度。 结果对照组的焦虑得分高于实验组，差异有统计学意义(121.8±28.6)分vs(95.7±18.5)分，t＝9.187，P＝0.013)]。实验组护理满意度高于对照组(Z＝7.401，P＝0.000)。 结论在腹腔镜食管裂孔疝修补手术患者中，实施专科化术前访视，不仅减轻了患者的思想负担，而且保证了手术的顺利进行，提高了手术室的护理满意度。

Analysis of the effect of specialist preoperative visit application in operation of laparoscopic repair of esophageal hiatal hernia

ObjectiveTo evaluate the effect of preoperative visit in laparoscopic repair of esophageal hiatal hernia. MethodsStatistical analysis 246 patients of laparoscopic repair of esophageal hiatal hernia in our hospital from January 2010 to September 2015, Among them, 140 cases were treated with specialized preoperative visit(experimental group)and 106 cases with routine preoperative visit(control group). Compare the two groups of patients with anxiety one day before operation and nursing satisfaction on the second day after operation. ResultsThe anxiety score of the control group was significantly higher than that of the experimental group (121.8±28.6) vs(95.7±18.5), t=9.187, P=0.013)]. The nursing satisfaction of the experimental group was significantly higher than that of the control group(Z=7.401, P=0.000). ConclusionThe implementation of specialist preoperative visit in laparoscopic hiatal hernia repair not only reduces the patient′s burden of thought, but also ensures the smooth operation and improves the nursing satisfaction of operation room.