Influence of postural intervention nursing on postoperative pain and recovery in patients undergoing hernia surgery

医学 围手术期 腹胀 外科 术后疼痛 腹股沟疝 麻醉 围手术期护理 入射(几何) 腹腔镜手术 腹部外科 护理部 腹腔镜检查 物理 光学
作者
Xuwei Liu,Guiyun Yang,Jingchao Fu,Junyi Liu,Ruimin Wang
出处
期刊:Chin J Hernia Abdominal Wall Surg(Electronic Edition) 卷期号:13 (6): 577-580
标识
DOI:10.3877/cma.j.issn.1674-392x.2019.06.024
摘要

Objective To explore the influence of postural intervention nursing on postoperative pain and recovery in patients undergoing hernia surgery. Methods 214 patients with inguinal hernia admitted to the Second hospital of Jilin University from January 2017 to September 2018 were selected and divided into the experiment group and the control group by random number table method, with 107 cases in each group. Laparoscopic hernia surgery was performed in both groups, the control group received routine nursing during the perioperative period, the experiment group added postural intervention nursing after the operation on this basis. The clinical parameters related to surgery, the degree of postoperative abdominal distension, postoperative non-incisional pain and complications were compared between the two groups. Results Compared with the control group, the recovery time of postoperative bowel sounds [(9.66±2.06) hours vs (10.75±2.71) hours], postoperative anal exhaust time [(10.53±2.48) hours vs (13.20±3.31)hours] and spontaneous ambulation time [(24.49±5.15) hours vs (26.90±5.88) hours] significantly advanced in the experiment group (P<0.05). The abdominal distension score of the experiment group (2.94±1.02) scores was significantly lower than that of the control group (6.06±1.84) scores at the 3rd day after surgery (P<0.05). The incidence of postoperative non-incisional pain of the experiment group (14.95%) was significantly lower than that of the control group (28.04%) (P<0.05). Conclusion Individualized postural intervention nursing after hernia surgery can effectively improve the gastrointestinal function of patients, relieve the degree of postoperative abdominal distension, reduce the risk of the postoperative non-incisional pain and complications, promote postoperative recovery of the patients. Key words: Postural intervention nursing; Hernia surgery; Pain; Recovery
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