中华胃食管反流病电子杂志 ›› 2020, Vol. 07 ›› Issue (03) : 193 -196. doi: 10.3877/cma.j.issn.2095-8765.2020.03.012 × 扫一扫
所属专题： 文献；
护理园地
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通信作者:
Xiaoxue Yang1, Yuan Jiang2,†()
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杨晓雪, 蒋媛. 精细化护理干预在腹腔镜食管裂孔疝修补术护理配合中的作用[J]. 中华胃食管反流病电子杂志, 2020, 07(03): 193-196.
Xiaoxue Yang, Yuan Jiang. Role of fine nursing intervention in nursing cooperation of laparoscopic hiatal hernia repair[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2020, 07(03): 193-196.
探讨精细化护理在腹腔镜食管裂孔疝修补手术中的作用。
回顾性分析2018年1月至2019年12月，于新疆维吾尔自治区人民医院手术室行腹腔镜食管裂孔山修补术的300例患者的病例资料。将2018年1月至12月的150例腹腔镜食管裂孔疝修补术患者作为对照组，2019年1月至12月的150例作为实验组，对实验组的手术护理配合采取精细化护理，对照组采用常规管理方法，比较实施前后两组患者术中相关并发症的发生情况、手术室工作效率、患者满意度、医师满意度。计量资料用均数±标准差（
实验组术中压力性损伤、低体温、深静脉血栓等并发症发生率低于对照组，两者比较的差异有统计学意义（χ2=4.147，4.253，4.124；P＜0.05）。实验组患者在周转时间、准备物品时间、手术用时上均缩短，两者比较的差异有统计学意义（F=69.437，48.394；P＜0.05）。两组患者满意度的差异具有统计学意义（χ2=4.353，P＜0.05）。两组患者术后对医师满意度的差异具有统计学意义（χ2=0.605，P＜0.05）。
精细化护理干预在腹腔镜食管裂孔疝修补术的应用具有明显的效果，此方法值得推广。
To explore the role of fine nursing in laparoscopic repair of hiatal hernia. Methods the clinical data of 300 patients who underwent laparoscopic esophageal hiatus repair in the operating room of people's Hospital of Xinjiang Uygur Autonomous Region from January 2018 to December 2019 were retrospectively analyzed.
150 cases of patients with laparoscopic hiatal hernia repair from January to December 2018 were selected as the control group, and 150 cases from January to December 2019 were selected as the experimental group. The operation nursing cooperation of the experimental group was treated with fine nursing, while the control group was treated with conventional management methods. The occurrence of intraoperative complications, operating room efficiency, patient satisfaction and physician satisfaction of the two groups before and after the implementation were compared It's a matter of intention. The measurement data were expressed as mean ± standard deviation (±s) by t test, and the count data were expressed as percentage (%) by chi square test.
the incidence of intraoperative pressure injury, hypothermia, deep venous thrombosis and other complications in the experimental group was lower than that in the control group, and the difference was statistically significant (χ2=4.147, 4.253, 4.124; P＜0.05). The turnover time, preparation time and operation time of the experimental group were shorter than those of the control group (F=69.437, 48.394; P＜0.05). The difference of satisfaction between the two groups was statistically significant (χ2=4.353, P＜0.05). There was a significant difference in the satisfaction of the two groups (χ2=0.605, P＜0.05).
the application of fine nursing intervention in laparoscopic hiatal hernia repair has obvious effect, which is worthy of promotion.