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Application of the theory of enhanced recovery after surgery in postoperative nursing after laparoscopic treatment of pediatric indirect inguinal hernia |
TIAN Xiaoling1, LIU Pengfei1, LI Xuna2, WANG Feifei2, DING Guojian2, FU Tingliang2, GENG Lei2* |
1 Department of Neurosurgery, Binzhou Medical University Hospital, Binzhou 256603, Shandong, P.R.China; 2 Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou 256603, Shandong, P.R.China |
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Abstract Objective To study the clinical effectiveness of the theory of enhanced recovery after surgery in the nursing care after laparoscopic high ligation in treatment of pediatric indirect inguinal hernia, and to evaluate the safety and feasibility of early feeding and early activity after general anesthesia.Methods Totally 154 children with indirect inguinal hernia admitted by pediatric surgery in a tertiary hospital were selected as the study objects. The patients were randomly divided into the observation group (82 cases) and the control group (72 cases). The children in the observation group were nursed with the concept of rapid rehabilitation surgery, while the children in the control group were nursed with the traditional perioperative nursing method. The nursing effects of the two groups of children were compared by comparing the differences in the degree of pain, hospitalization stays, hospitalization cost, postoperative adverse reactions and complications, family satisfaction and other relevant indicators.Results Compared with the control group, the children in the observation group had shorter hospital stays and lower hospitalization costs (P<0.05). The postoperative crying, hunger and family members′ satisfaction with nursing services of the observation group were significantly better than that of the control group (P<0.05). The degree of postoperative pain of the observation group was less than that of the control group (P<0.05).Conclusion The application of the theory of enhanced recovery after surgery in the laparoscopic treatment of pediatric indirect inguinal hernia has reduced the hospitalization time and cost of the children, without increasing the incidence of postoperative complications of the children, and improves family satisfaction. Therefore, it is worthy of promotion and application.
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Received: 10 February 2020
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[1] DAVIES D A,RIDEOUT D A,CLARKE S A.The International Pediatric Endosurgery Group Evidence-Based Guideline on Minimal Access Approaches to the Operative Management of Inguinal Hernia in Children[J].J Laparoendosc Adv Surg Tech A,2020,30(2):221-227. [2] 黄永刚,王平.国际儿科内镜手术学组微创入路手术治疗儿童腹股沟疝循证指南解读[J].中华疝和腹壁外科杂志(电子版),2018,12(4):247-248. [3] 中华医学会小儿外科学分会内镜外科学组.小儿腹股沟疝腹腔镜手术操作指南(2017 版)(上篇)[J].中华疝和腹壁外科杂志(电子版),2018,12(1):1-5. [4] 沃敏.快速康复外科理念及其在围手术期护理中的应用[J].上海医药,2017,38(12): 7-8. [5] HUANG G W,SHEN D C,HE W,et al.Laparoscopic inguinal hernia repair with enhanced recovery after surgery protocols[J].Chinese Journal of General Surgery,2016,25(10):1470-1474. [6] VOEPEL-LEWIS T,MERKEL S,TAIT A R,et al.The reliability and validity of the face legs activity cry consolability observational tool as a measure of pain in children with cognitive impairment[J].Anesth Analg,2002,95(5):1224 -1229. [7] MOLENA D,MUNGO B,STEM M,et al.Novel combined VATS/laparoscopic approach for giant and complicated paraesophageal hernia repair:description of technique and early results[J].Surgical Endoscopy,2015,29(1):185-191. [8] KLEMETTI S,KINNUNEN I,SUOMINEN T,et al.The effect of preoperative fasting on postoperative thirst,hunger and oral intake in paediatric ambulatory tonsillectomy [J].J Clin Nurs,2010,19(3-4):341-350. [9] 王娟,丁敏,刘小琴,等.FLACC 表用于学龄前儿童术后疼痛评估的信效度评价[J].江苏医药,2015,41(11):1298-1300. [10] 李美林,何晓睿,高艳,等.快速康复外科理念在腹腔镜小儿疝囊高位结扎术围手术期护理中的应用效果[J].安徽医学,2016,37(10):1294-1296. [11] 邓立军,李平,耿若帆,等.快速康复外科理念在小儿腹股沟疝日间手术中的应用[J].临床小儿外科杂志,2016,15(4):360-362. [12] LI S,TANG S T,AUBDOOLLAH T H,et al.A Modified Approach for Inguinal Hernias in Children:Hybrid Single-Incision Laparoscopic Intraperitoneal Ligation[J].Journal of laparoendoscopic and Advanced Surgical Techniques,Part A,2015,25(8):689-693. |
[1] |
. [J]. 滨州医学院学报, 2020, 43(6): 465-467. |
[2] |
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[4] |
LI Yongjie, YAN Ning, ZHANG Yingzi. Clinical effect of laparoscopy on early endometrial cancer[J]. 滨州医学院学报, 2020, 43(2): 115-117. |
[5] |
. [J]. 滨州医学院学报, 2019, 42(6): 455-458. |
[6] |
. [J]. 滨州医学院学报, 2018, 41(4): 316-318. |
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