Effect of day ward care model on patients undergoing laparoscopic inguinal hernia repair
Objective To analyze the effect of day ward care model on patients undergoing laparoscopic inguinal hernia repair.Methods It was a retrospective study.A total of 60 patients with laparoscopic inguinal hernia repair who received routine inpatient care in Henan Provincial People's Hospital from June to December 2021 were selected as the control group,including 33 males and 27 females,aged 19-58(39.20±2.01)years.A total of 60 patients with laparoscopic inguinal hernia repair who received day ward care model from January to June 2022 were selected as the observation group,including 31 males and 29 females,aged 18 to 60(39.46± 2.33)years.The hospitalization time and hospitalization cost of the two groups were compared.Through in-hospital investigation and follow-up visit,the Symptom Check-List-90(SCL-90),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to evaluate the psychological status of the two groups on the day of admission and 7 days after discharge.The Newcastle Satisfaction with Nursing Scale(NSNS)was used to evaluate the nursing satisfaction of the two groups 7 days after discharge.The incidence of complications within 7 days after surgery was compared between the two groups.Statistical methods used were t test and x2 test.Results The hospitalization time of the observation group was shorter than that of the control group[(1.00± 0.00)days vs.(7.26±1.23)days],and the hospitalization cost was lower than that of the control group[(4 210.36±349.86)yuan vs.(6 836.58±233.25)yuan],with statistically significant differences(t=39.42 and 48.38,both P＜0.05).Seven days after discharge,the scores of SCL-90,SAS,and SDS in the observation group were lower than those in the control group[(94.38±5.17)points vs.(96.35± 2.06)points,(29.41±2.35)points vs.(30.32±1.36)points,(27.18±1.11)points vs.(28.20±2.35)points],with statistically significant differences(t=2.74,2.60,and 3.04,all P＜0.05).Seven days after discharge,the total satisfaction rate of the observation group was higher than that of the control group[98.33％(59/60)vs.88.33％(53/60)],with a statistically significant difference(x2=4.82,P＜0.05).Conclusion The day ward care model can significantly shorten the hospital stay in patients with laparoscopic inguinal hernia repair,reduce the hospitalization cost,significantly improve their psychological status,and comprehensively improve their nursing satisfaction.
Inguinal herniaLaparoscopic surgeryDay ward care modelPsychological statusNursing satisfaction
万方数据
维普
