Effect of multimodal care on postoperative recovery of patients with inguinal hernia:Based on theory of planned behavior
Objective To explore the effect of multimodal care based on theory of planned behavior on postoperative recovery of patients with inguinal hernia(IH).Methods Totally 94 IH patients treated in our hospital from February 2022 to May 2023 were randomly assigned to control group(n=47)and observation group(n=47),in which they received conventional care and multimodal care based on theory of planned behavior,respectively.The differences in postoperative pain duration,gastrointestinal function recovery time,out of bed time between the two nursing strategies were compared.Hospital Anxiety and Depression Scale(HADS)scores,Pittsburgh Sleep Quality Index(PSQI)scores,General Self-Efficacy Scale(GSES)scores preoperatively and at 1 day and 5 days postoperatively,Kolcaba General Comfort Questionnaire(GCQ),compliance rate and incidence of complications at 1 day postoperatively were recorded.Results When stratified by the age,the pain duration,time to first anal exhaust and first intake of patients in observation group were significantly shorter relative to their counterparts in control group(P＜0.05),which were significantly shorter among the younger patients,but not among the older patients in the both groups(P＜0.05).At 1 day and 5 days postoperatively,significantly lower HADS and PSQI scores,and significantly higher GSES scores were detected in both groups(all P＜0.05),the improvements were significantly pronounced in the observation group(all P＜0.05).At 1 day postoperatively,GCQ scores in the observation group was significantly higher than that in the control group(P＜0.05).There was a significant difference in the total compliance rate between groups(P＜0.05),according to age,a significantly higher compliance rate was founded in the younger patients in the observation group compared to those in the control group(P＜0.05).The incidence of complications in the older patients were obvious difference between groups(P＜0.05).Conclusion Multimodal care based on theory of planned behavior is beneficial to promote postoperative recovery of IH patients,which can improve compliance rate,self-efficacy,psychological state,sleep quality and comfort,and with high clinical application.
inguinal herniatheory of planned behaviormultimodal careself-efficacypsychological state
NETL
NSTL
万方数据
维普
