Clinical value of enhanced recovery concept in perioperative nursing care of patients with total laparoscopic hiatal hernia repair

doi:10.3877/cma.j.issn.2095-8765.2020.04.009

Abstract

Abstract:

Objective

To analyze the specific impact of the concept of rapid rehabilitation in the perioperative care of patients undergoing laparoscopic hiatal hernia repair.

Methods

From July 2017 to October 2018, we selected 90 patients with hiatal hernia admitted to the People's Hospital of Xinjiang Uygur Autonomous Region. All patients underwent laparoscopic hiatus hernia repair and nursing, and were randomly divided into experimental group and control group. The experimental group was given rapid rehabilitation concept nursing, and the control group was given normal nursing mode, with 45 cases in each group. Comparing the 90 nursing models from July 2017 to October 2018, it was observed that the remaining 45 patients recovered faster than the control group. Need to formulate and analyze the difference in nursing effect between the two groups. Compare the nursing effect of nursing exercise methods during the operation, such as hospitalization time, anal fatigue time, gastric tube extraction time, first meal time, nursing satisfaction, complication rate, etc.

Results

The observation group and the observation group had statistically significant differences in hospitalization time, anal fatigue time, gastric tube removal time, first meal time, nursing satisfaction, complications, etc. The observation group had advantages, P＜0.05.

Conclusions

For patients undergoing total laparoscopic hiatal hernia repair, rapid rehabilitation care during the operation can effectively speed up the recovery of patients after surgery, improve patient care satisfaction, and reduce the incidence of postoperative complications. It is worthy of clinical application.

Key words: rapid rehabilitation concept, Total laparoscopic hiatus hernia repair, Perioperative nursing

Ye Zhao, Jianhui Ma. Clinical value of enhanced recovery concept in perioperative nursing care of patients with total laparoscopic hiatal hernia repair[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2020, 07(04): 236-239.

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Figures/Tables 2

References 20

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组别	例数	住院时间（d）	肛门排气时间（h）	胃管拔出时间（h）	首次进食时间（h）
观察组	45	5.34±1.05	26.83±1.21	18.43±1.42	29.82±1.78
对照组	45	7.98±1.13	20.71±1.43	27.84±1.37	21.23±1.26
t		5.021	6.728	11.054	9.475
P		＜0.05	＜0.05	＜0.05	＜0.05

组别	例数	住院时间（d）	肛门排气时间（h）	胃管拔出时间（h）	首次进食时间（h）
观察组	45	5.34±1.05	26.83±1.21	18.43±1.42	29.82±1.78
对照组	45	7.98±1.13	20.71±1.43	27.84±1.37	21.23±1.26
t		5.021	6.728	11.054	9.475
P		＜0.05	＜0.05	＜0.05	＜0.05

组别	例数	非常满意	较为满意	不满意	满意度
观察组	45	23（51.11）	20（44.44）	2（4.45）	43（95.55）
对照组	45	20（44.44）	15（33.33）	10（22.23）	35（77.77）
χ²		1.834	2.834	12.834	12.834
P		＜0.05	＜0.05	＜0.05	＜0.05

组别	例数	非常满意	较为满意	不满意	满意度
观察组	45	23（51.11）	20（44.44）	2（4.45）	43（95.55）
对照组	45	20（44.44）	15（33.33）	10（22.23）	35（77.77）
χ²		1.834	2.834	12.834	12.834
P		＜0.05	＜0.05	＜0.05	＜0.05

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