Abstract:

Objective　To analyze the effect of day ward care model on patients undergoing laparoscopic inguinal hernia repair. Methods　It was a retrospective study. A total of 60 patients with laparoscopic inguinal hernia repair who received routine inpatient care in Henan Provincial People's Hospital from June to December 2021 were selected as the control group, including 33 males and 27 females, aged 19-58 (39.20±2.01) years. A total of 60 patients with laparoscopic inguinal hernia repair who received day ward care model from January to June 2022 were selected as the observation group, including 31 males and 29 females, aged 18 to 60 (39.46±2.33) years. The hospitalization time and hospitalization cost of the two groups were compared. Through in-hospital investigation and follow-up visit, the Symptom Check-List-90 (SCL-90), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to evaluate the psychological status of the two groups on the day of admission and 7 days after discharge. The Newcastle Satisfaction with Nursing Scale (NSNS) was used to evaluate the nursing satisfaction of the two groups 7 days after discharge. The incidence of complications within 7 days after surgery was compared between the two groups. Statistical methods used were t test and χ² test. Results　The hospitalization time of the observation group was shorter than that of the control group [(1.00±0.00) days vs. (7.26±1.23) days], and the hospitalization cost was lower than that of the control group [(4 210.36±349.86) yuan vs. (6 836.58±233.25) yuan], with statistically significant differences (t=39.42 and 48.38, both P<0.05). Seven days after discharge, the scores of SCL-90, SAS, and SDS in the observation group were lower than those in the control group [(94.38±5.17) points vs. (96.35±2.06) points, (29.41±2.35) points vs. (30.32±1.36) points, (27.18±1.11) points vs. (28.20±2.35) points], with statistically significant differences (t=2.74, 2.60, and 3.04, all P<0.05). Seven days after discharge, the total satisfaction rate of the observation group was higher than that of the control group [98.33% (59/60) vs. 88.33% (53/60)], with a statistically significant difference (χ²=4.82, P<0.05). Conclusion　The day ward care model can significantly shorten the hospital stay in patients with laparoscopic inguinal hernia repair, reduce the hospitalization cost, significantly improve their psychological status, and comprehensively improve their nursing satisfaction.

Key words:

Inguinal hernia, Laparoscopic surgery, Day ward care model, Psychological status, Nursing satisfaction

摘要：

目的　分析腹腔镜腹股沟疝修补术患者实施日间病房护理模式的效果。方法　回顾性研究，选取2021年6月至12月在河南省人民医院接受常规住院护理的60例腹腔镜腹股沟疝修补术患者作为对照组，其中男33例，女27例，年龄19～58（39.20±2.01）岁；2022年1月至6月期间接受日间病房护理模式的60例腹腔镜腹股沟疝修补术患者作为观察组，其中男31例，女29例，年龄18～60（39.46±2.33）岁。比较两组患者的住院时间、住院费用，另通过在院调查及跟踪回访，于患者入院当天与出院7 d时，使用症状自评量表（SCL-90）、焦虑自评量表（SAS）、抑郁自评量表（SDS）评价两组患者的心理状态，使用纽卡斯尔护理满意度量表（NSNS）评价两组患者出院7 d的护理满意度，并比较两组患者在术后7 d内的并发症发生率。统计学方法采用t检验、χ²检验。结果　观察组患者住院时间短于对照组［（1.00±0.00）d比（7.26±1.23）d］，住院费用低于对照组［（4 210.36±349.86）元比（6 836.58±233.25）元］，差异均有统计学意义（t=39.42、48.38，均P<0.05）。出院7 d，观察组患者SCL-90、SAS、SDS总分均低于对照组［（94.38±5.17）分比（96.35±2.06）分、（29.41±2.35）分比（30.32±1.36）分、（27.18±1.11）分比（28.20±2.35）分］，差异均有统计学意义（t=2.74、2.60、3.04，均P<0.05）。出院7 d，观察组患者总满意率高于对照组［98.33%（59/60）比88.33%（53/60）］，差异有统计学意义（χ²=4.82，P<0.05）。结论　日间病房护理模式能够缩短腹腔镜腹股沟疝修补术患者的住院时间、减少住院费用，并改善其心理状态，综合提升护理满意度。

关键词:

腹股沟疝, 腹腔镜手术, 日间病房护理, 心理状态, 护理满意度