时效性激励联合快速康复模式在小儿腹股沟疝日间手术护理中的应用

Time-Sensitive Incentives Combined with Rapid Rehabilitation Care in Paediatric Inguinal Hernia Day Surgery Care

摘要: 目的：比较时效性激励联合快速康复模式和传统护理模式在小儿腹股沟疝日间手术护理中的效果。方法：收集2022年10月到2023年10月在甘肃省中心医院日间诊疗中心二部因腹股沟疝行手术治疗130例患儿的临床资料。根据护理模式不同分为观察组(时效性激励联合快速康复模式，N = 74例)和对照组(传统护理模式，N = 56例)。使用改良的耶鲁术前焦虑量表(Cm-YPAS)评估患儿走向手术的焦虑状况、观察患儿术后恢复情况、并发症及患儿家属满意度。结果：本研究总共纳入患儿130例，其中观察组74例，对照组56例。与对照组相比，观察组明显减缓了患儿术前走向手术室的焦虑状态(P < 0.0001)、提高了患儿术后恢复质量(P < 0.05)，降低了患儿术后恶心、呕吐次数(P < 0.05)，提高患儿家属满意度(P < 0.05)，但在术后切口感染、鞘膜积液方面，两组未见明显差异(P > 0.05)。结论：与传统护理模式相比，时效性应激联合快速外科康复护理模式在小儿腹股沟疝日间手术护理中可以明显降低患儿术前焦虑和术后恶心、呕吐次数、提高患儿术后恢复质量和家属满意度。在其他并发症方面，两组无差异。

Abstract: Objective: To compare the effectiveness of time-sensitive incentives combined with a rapid recovery model with a traditional care model in day surgery care for paediatric inguinal hernia. Methods: Clinical data of 130 children who underwent surgical treatment for inguinal hernia from October 2022 to October 2023 in the Second Department of Gansu Provincial Central Hospital Daytime Clinic Centre were collected. They were divided into an observation group (temporal incentive combined with rapid recovery model, N = 74 cases) and a control group (traditional care model, N = 56 cases) according to the different care models. The modified Yale Preoperative Anxiety Scale (Cm-YPAS) was used to assess the children’s anxiety towards surgery, and to observe the children’s postopera-tive recovery, complications, and the children’s family satisfaction. Results: A total of 130 children were included in this study, including 74 in the observation group and 56 in the control group. Compared with the control group, the observation group significantly reduced the children’s pre-operative anxiety towards the operating room (P < 0.0001), improved the quality of the children’s postoperative recovery (P < 0.05), reduced the number of children’s postoperative nausea and vomiting (P < 0.05), and improved the satisfaction of the children’s families (P < 0.05), but there was no significant difference between the two groups in the areas of postoperative incisional infec-tions and syringomyelia (P > 0.05). Conclusion: Compared with the traditional nursing model, the time-sensitive stress combined with rapid surgical rehabilitation nursing model in paediatric in-guinal hernia day surgery care can significantly reduce preoperative anxiety and the number of postoperative nausea and vomiting, and improve the quality of children’s postoperative recovery and family satisfaction. In terms of other complications, there was no difference between the two groups.