优质护理模式在老年腹股沟嵌顿疝急诊手术中的应用

目的探讨优质护理模式在老年腹股沟嵌顿疝急诊手术中的应用效果。 方法选取2016年9月至2018年7月，琼海市中医院收治的腹股沟嵌顿疝老年患者116例，采用随机数字表法将患者分为观察组和对照组，每组58例。2组患者均行无张力疝修补术，对照组围手术期给予常规护理，观察组在此基础上采用优质护理模式。比较2组患者治疗前及出院后2周抑郁及焦虑状态、手术前后不同时间疼痛程度、住院期间护理质量及术后并发症发生情况。 结果与治疗前比较，出院后2周2组患者抑郁自评量表、焦虑自评量表评分均明显降低，且观察组明显低于对照组，差异有统计学意义（P<0.05）。术后6 h至3 d，2组患者视觉模拟评分均呈逐渐降低趋势，且术后6 h至3 d观察组VAS评分均明显低于对照组，差异有统计学意义（P<0.05）。观察组病情观察、护理技巧及并发症预防评分均明显高于对照组，差异有统计学意义（P<0.05）。观察组总并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。 结论优质护理模式可以降低老年腹股沟嵌顿疝患者急诊手术后疼痛程度，缓解患者负性情绪，降低术后并发症发生风险，促进患者恢复。

Application of high quality nursing method in emergency operation of elderly incarcerated inguinal hernia

ObjectiveTo explore the application effect of high quality nursing method in emergency operation of elderly incarcerated inguinal hernia. Methods116 elderly patients with inguinal incarcerated hernia in Qionghai Hospital of Traditional Chinese Medicine from September 2016 to July 2018 were selected and divided into the experiment group and the control group by random number table method, 58 cases in each group. All patients of the two groups underwent tension-free hernia repair, the control group received routine nursing during the perioperative period, and the experiment group used high-quality nursing mode. The depression/anxiety status before and 2 weeks after discharge, the degree of pain at different time before and after operation, the quality of care during hospitalization and postoperative complications of the two groups were compared. ResultsCompared with period before treatment, the scores of SDS and SAS during two weeks after discharge significantly decreased in the two groups, and the scores of experiment group was significantly lower than of the control group (P<0.05). The visual analogue score (VAS) gradually decreased from 6 h to 3 d after operation of the 2 groups, and the VAS scores from 6 h to 3 d after operation of the experiment group were significantly lower than those of the control group (P<0.05). The scores of condition observation, nursing skills and prevention of the experiment group were significantly higher than of the control group (P<0.05). The incidence of total complications in the experiment group was significantly lower than that in the control group (P<0.05). ConclusionHigh-quality nursing mode can significantly reduce the pain degree of elderly patients with incarcerated inguinal hernia after emergency surgery, relieve negative emotions, reduce the risk of postoperative complications and promote recovery of patients. It is recommended to use in clinic.