Abstract
Objective To explore the application effect of systematic holistic nursing on laparoscopic totally extraperitoneal inguinal hernia repair (TEP). Methods 78 patients with inguinal hernia admitted to Qinghai province people's hospital from February 2017 to August 2018 were selected and divided into the experiment group and the control group by random number table method, 39 cases in each group. The 2 groups underwent TEP, the control group received routine care, and the experiment group received systematic holistic nursing on the basis of routine care. The clinical parameters, the anxiety, depression status at the time of admission and 2 weeks after discharge and the quality of nursing during the hospitalization of the 2 groups were compared, and the postoperative complications of the 2 groups were recorded. Results Compared with the control group, the postoperative anal exhaust time, postoperative feeding time and spontaneous ambulation time significantly advanced in the experiment group (t=2.862, 2.086, 2.894, P=0.005, 0.040, 0.005). Compared with admission, the scores of SAS and SDS significantly decreased at 2 weeks after discharge in the experiment group, and the experiment group was significantly lower than the control group (all P<0.001). The incidence of total complications in the experiment group was significantly lower than that in the control group (12.82% vs 33.33%, P<0.05). The nursing satisfaction in the experiment group were significantly higher than the control group (χ2=10.174, P=0.001). Conclusion Systematic holistic nursing can significantly reduce the incidence of postoperative complications in patients with TEP, effectively improve negative emotions such as anxiety and depression, and greatly promote postoperative recovery of patients. The satisfaction of nursing is significantly higher than the conventional nursing mode, it's recommended to use in clinic. Key words: Systematic holistic nursing; Hernia, inguinal; Herniorrhaphy; Laparoscopes
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