摘要
目的 探讨在腹腔镜疝气修补术(Laparoscopic Hernia Repair, LHR)中手术室护理配合的应用价值。方法 选取2024年9月至2025年10月收治的76例LHR患者,随机分为观察组(常规护理+手术室护理配合)与对照组(常规护理)各38例,对比效果。结果 观察组住院时间、手术时间、术中出血量及下床活动时间均优于对照组(P<0.05);干预后观察组汉密尔顿焦虑量表(Hamilton Anxiety Scale, HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale, HAMD)评分更低,醛固酮(Aldosterone, ALD)、皮质醇(Cortisol, Cor)、去甲肾上腺素(Norepinephrine, NE)等应激指标改善更显著,生活质量简易量表(Short Form 36 Health Survey Questionnaire, SF-36)各维度评分更高,并发症发生率更低(P<0.05)。结论 手术室护理配合应用于LHR可优化围手术期指标,减轻负性情绪与应激反应,提升生活质量,降低并发症风险,效果良好。
关键词: 腹腔镜疝气修补术;手术室护理;围手术期护理;并发症;生活质量
Abstract
Objective To explore the application value of operating room nursing collaboration in Laparoscopic Hernia Repair (LHR). Methods Seventy-six patients undergoing LHR from September 2024 to October 2025 were randomly divided into an observation group (routine care+operating room nursing collaboration) and a control group (routine care), with 38 patients in each group, for comparative analysis. Results The observation group exhibited shorter hospital stay, shorter operation time, less intraoperative blood loss, and earlier ambulation compared to the control group (P<0.05). After intervention, the observation group had lower scores on the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD), more significant improvements in stress markers such as aldosterone (ALD), cortisol (Cor), and norepinephrine (NE), higher scores across all dimensions of the Short Form 36 Health Survey Questionnaire (SF-36), and a lower incidence of complications (P<0.05). Conclusion The application of operating room nursing collaboration in LHR can optimize perioperative indicators, reduce negative emotions and stress responses, improve quality of life, and lower the risk of complications, with promising outcomes.
Key words: Laparoscopic hernia repair; Operating room nursing; Perioperative care; Complications; Quality of life
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