中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
18期
2229-2231
,共3页
老年人%腹股沟疝%无张力补片修补术%全程护理干预
老年人%腹股溝疝%無張力補片脩補術%全程護理榦預
노년인%복고구산%무장력보편수보술%전정호리간예
Elderly%Inguinal hernia%Tension-free hemioplasty%Whole course nursing intervention
目的：研究全程护理干预模式在老年腹股沟疝患者行疝环充填式无张力补片修补术治疗的应用实际成效及其可行性。方法将接受疝环充填式无张力补片修补术的192例老年腹股沟疝患者随机分为对照组和观察组，各96例，对照组采用常规护理，观察组采用全程护理干预模式，对两组患者的生活质量及对医院工作的满意度进行对比分析。结果干预前两组患者生活质量各项得分比较差异均无统计学意义（ P＞0．05）；干预后观察组患者躯体健康、心理健康、社会功能、情感状况、精力评分分别为（27．71±3．21），（21．45±2．06），（21．34±2．20），（17．33±2．35），（22．44±2．25）分，均高于对照组各项评分，差异有统计学意义（t值分别为7．95，5．21，6．56，6．84，13．24；P＜0．05）；观察组对医护人员的护理工作满意率为92．71％（89/96），高于对照组77．08％（74/96），差异有统计学意义（ Z＝-11．691， P＜0．01）。结论全程护理干预模式对老年腹股沟疝患者术后护理效果明显，有助改善患者心理状态，帮助患者更好地恢复身体健康，提高其生活质量。
目的：研究全程護理榦預模式在老年腹股溝疝患者行疝環充填式無張力補片脩補術治療的應用實際成效及其可行性。方法將接受疝環充填式無張力補片脩補術的192例老年腹股溝疝患者隨機分為對照組和觀察組，各96例，對照組採用常規護理，觀察組採用全程護理榦預模式，對兩組患者的生活質量及對醫院工作的滿意度進行對比分析。結果榦預前兩組患者生活質量各項得分比較差異均無統計學意義（ P＞0．05）；榦預後觀察組患者軀體健康、心理健康、社會功能、情感狀況、精力評分分彆為（27．71±3．21），（21．45±2．06），（21．34±2．20），（17．33±2．35），（22．44±2．25）分，均高于對照組各項評分，差異有統計學意義（t值分彆為7．95，5．21，6．56，6．84，13．24；P＜0．05）；觀察組對醫護人員的護理工作滿意率為92．71％（89/96），高于對照組77．08％（74/96），差異有統計學意義（ Z＝-11．691， P＜0．01）。結論全程護理榦預模式對老年腹股溝疝患者術後護理效果明顯，有助改善患者心理狀態，幫助患者更好地恢複身體健康，提高其生活質量。
목적：연구전정호리간예모식재노년복고구산환자행산배충전식무장력보편수보술치료적응용실제성효급기가행성。방법장접수산배충전식무장력보편수보술적192례노년복고구산환자수궤분위대조조화관찰조，각96례，대조조채용상규호리，관찰조채용전정호리간예모식，대량조환자적생활질량급대의원공작적만의도진행대비분석。결과간예전량조환자생활질량각항득분비교차이균무통계학의의（ P＞0．05）；간예후관찰조환자구체건강、심리건강、사회공능、정감상황、정력평분분별위（27．71±3．21），（21．45±2．06），（21．34±2．20），（17．33±2．35），（22．44±2．25）분，균고우대조조각항평분，차이유통계학의의（t치분별위7．95，5．21，6．56，6．84，13．24；P＜0．05）；관찰조대의호인원적호리공작만의솔위92．71％（89/96），고우대조조77．08％（74/96），차이유통계학의의（ Z＝-11．691， P＜0．01）。결론전정호리간예모식대노년복고구산환자술후호리효과명현，유조개선환자심리상태，방조환자경호지회복신체건강，제고기생활질량。
Objective To explore the actual application effect and the feasibility of whole course nursing intervention model in the elderly inguinal hernia patients with mesh plug tension -free hemioplasty . Methods One hundred and ninety-two elderly inguinal hernia patients with mesh plug tension -free hemioplasty from December 2010 and December 2013 were chosen and were randomly divided into the control group and the observation group , each with 96 cases.The control group received the routine nursing , and the observation group received the whole course nursing intervention .The patients'life quality and satisfaction were compared between two groups .Results No differences were found in the scores of every items of life quality between two groups before the intervention (P >0.05).The scores of body health, mental health, social function, emotional state and energy were respectively (27.71 ±3.21), (21.45 ±2.06), (21.34 ±2.20), (17.33 ±2.35), (22.44 ±2.25) in the observation group after the intervention , and were higher than those of the control group, and the differences were statistically significant (t =7.95,5.21,6.56,6.84,13.24, respectively;P<0.05).The rate of patients'satisfaction was 92.71%(89/96) in the observation group, and was higher than 77.08% (74/96) in the control group, and the difference was statistically significant (Z=-11.691,P <0.01 ).Conclusions The whole course nursing intervention has obvious effect on the postoperative nursing in the elderly inguinal hernia patients , and is helpful to improve the psychological status of patients, and can help the patients recover better physical health , and improve their quality of life .
