Observation of systematic approach to holistic nursing care after extra peritoneal laparoscopic inguinal hernia repair surgery
10.3760/cma.j.issn.1674-2907.2015.11.022
- VernacularTitle:腹腔镜下完全腹膜外腹股沟疝修补术后系统化整体护理效果观察
- Author:
Ying WANG
1
;
Yifang DU
Author Information
1. 150001 哈尔滨医科大学附属第一医院胰胆外科
- Keywords:
Laparoscopy;
Systematic approach to holistic nursing care model;
Totally extraperitoneal inguinal hernia repair
- From:
Chinese Journal of Modern Nursing
2015;(11):1311-1313
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of systematic approach to holistic nursing care mode ( SAHNCM ) after totally extraperitoneal inguinal hernia repair surgery under laparoscopic ( TEIHRSL ) . Methods From February to July 2013 for the implementation of SAHNCM, a total of 30 patients with TEPLIHRS received routine nursing;and from 2013 August to 2014 January, another 30 patients with TEIHRSL were taken SAHNCM. We analyzed the implementation of patients with urinary retention rate, incidence of constipation, the drainage tube unimpeded rate, postoperative eating time, ambulation time, hospitalization time. Results After the implementation of SAHNCM, the patients with urinary retention rate, incidence of constipation, rate of hemorrhage and edema, pain occurrence were significantly decreased to 0%, 3. 3%, 3. 3%, 6. 7% comparing with 16. 7%, 20. 0%, 20. 0%, 33. 3% before implementation; the drainage tube unimpeded rate increased from 80% to 100% (χ2 =5. 455, 4. 043, 4. 043, 4. 043, 6. 670,respectively;P<0. 05). At the same time, the patients′ postoperative eating time, ambulation time, hospitalization time were (6.4 ±2.1), (6.8 ±3.1), (3.7 ±1.8)d compared with (9.2 ±2.6), (15.6 ±3.8), (6.1 ±2.2) d of before SAHNCM implementation (t=4. 589, 9. 829, 4. 625;P<0. 01). Conclusions TEIHRSL works well with SAHNCM, which leads to a high rate of patient satisfaction.
