老年男性腹股沟疝无张力修补术后围手术期护理体会

目的探讨老年男性腹股沟疝无张力修补术后围手术期护理方法及体会。 方法选取2015年1月至2016年12月吉林大学中日联谊医院116例老年男性腹股沟疝无张力修补术患者，随机分为观察组与对照组，每组58例。对照组使用常规护理，观察组应用临床护理路径，比较2组患者术后住院时间、住院费用、并发症发生率以及对护理的满意度。 结果观察组住院时间低于对照组，差异有统计学意义（P<0.05）；观察组住院费用低于对照组，差异有统计学意义（P<0.05）；观察组并发症发生率4例（6.9%），低于对照组19例（32.6%），差异有统计学意义（P<0.05）；观察组护理满意度91.4%，高于对照组70.7%，差异有统计学意义（P<0.05）。 结论临床护理路径能够有效降低老年男性腹腔镜腹股沟疝无张力修补术后患者并发症发生率，缩短住院时间，降低住院费用，能够有效改善患者的预后情况。

Clinical nursing experience of elderly male inguinal hernia tension-free repair

ObjectiveTo analyze the clinical perioperative nursing methods and experience of inguinal hernia tension-free repair in elderly male patients. Methods116 elderly male patients underwent inguinal hernia tension-free repair in China-Japan Friendship Hospital of Jilin University from January 2013 to December 2014 were selected. The patients were randomly divided into observation group and control group, 53 cases in each group. The control group was given conventional nursing care, and the observation group were given clinical nursing care pathway. The postoperative hospitalization time, costs, and incidence of postoperative complications as well as patient satisfaction with both groups care were compared. ResultsThe hospitalization time and costs of observation group was lower than those of control group, the differences were statistically significant (P<0.05). The incidence of complications in the observation group was 6.9%, which was lower than the control group (32.6%), the difference was statistically significant (P<0.05). The nursing satisfaction was 91.4%, which was higher than that of the control group (70.7%), and the difference was statistically significant (P<0.05). ConclusionThe clinical nursing pathway can effectively reduce the postoperative complication rate of elderly male patients with laparoscopic inguinal hernia tension-free repair, shorten the length of hospital stay, reduce hospitalization costs, and effectively improve the prognosis of patients.