快速康复理念对行腹股沟疝腹腔镜手术患者自我效能的影响

目的探究快速康复外科护理理念对行腹股沟疝腹腔镜手术患者自我效能（GSES）的影响。 方法选取2016年4月至2018年4月于上海市东方医院行腹腔镜腹股沟疝手术的腹股沟疝患者86例。依据不同康复方式将其分为2组，研究组与对照组，各43例。给予对照组临床常规性干预措施，研究组基于对照组康复基础上应用快速康复外科理念，以此比对2组各临床指标的变化情况、疼痛程度、GSES评分及不良反应发生率。 结果研究组患者首次下床活动时间、排气时间、首次进食时间、排便时间、术后完全自理时间及住院时间均低于对照组，其差异有统计学意义（t=9.584，9.388，9.522，9.741，10.021，10.284；P<0.05）。研究组术后1 h及6 h视觉模拟疼痛评分低于对照组，其差异有统计学意义（t=9.584，9.536；P<0.05）。干预后研究组GSES评分高于对照组，其差异有统计学意义（t=9.845，P<0.05）。研究组不良反应发生率（14.0%）低于对照组（46.5%），其差异有统计学意义（χ²=6.254，P<0.05）。 结论快速康复外科理念能提升行腹腔镜手术治疗患者的自我效能评分，且降低患者的疼痛评分和术后并发症，值得在外科临床术后普及应用。

Influence of rapid rehabilitation surgery concept on self-efficacy of patients undergoing laparoscopic inguinal hernia repair

ObjectiveTo explore the influence of the concept of rapid rehabilitation surgery on the self-efficacy of patients undergoing laparoscopic inguinal hernia surgery. MethodsA total of 86 patients with inguinal hernia who underwent laparoscopic inguinal hernia surgery in Shanghai East hospital from April 2016 to April 2018 were selected. The control group was given routine clinical intervention measures, and the study group applied the concept of rapid rehabilitation surgery based on the rehabilitation of the control group. The changes of various clinical indicators, pain degree, self-efficacy score and incidence of adverse reactions in the two groups were compared. ResultsThe leaving bed time, exhaust time, first feeding time, defecation time, completely self-care time and postoperative hospital stay of study group were lower than that of control group (P<0.05). The VAS pain score of the study group at 1 h and 6 h after operation were lower than those of the control group (P<0.05). Self-efficacy score of the study group was higher than that of the control group (P<0.05). The incidence of adverse reactions was 14.0% in the study group, was lower than that in the control group (46.5%), and the difference was statistically significant (P<0.05). ConclusionFor patients undergoing laparoscopic inguinal hernia surgery, the concept of rapid rehabilitation surgery can improve the self-efficacy score, reduce the pain score and reduce the occurrence of postoperative complications. Therefore, it is worthy of universal application in clinical surgery.