4C模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中的应用

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4C模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中的应用

张丽青郑冬华许多陈丽莉

温州医科大学附属第一医院手术室

出版日期:2015-11-25 发布日期:2015-11-25
基金资助:
温州市科学技术局科技计划项目（Y20140196)

Application of 4C model in the transitional care of patients with tension free inguinal hernia repair after day surgery

Online:2015-11-25 Published:2015-11-25

摘要/Abstract

摘要： 目的：探讨4C 模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中的应用及效果。方法：对120 例日间手术治疗无张力腹股沟疝修补术的患者实施全面性、合作性、协调性、延续性的延续护理并评价效果。结果：①术后7d 的VAS 评分为（3.75±0.91) 分；术后7d 便秘例数为41 例（占34.17%）、尿潴留26 例（占21.67%）；腹胀持续天数为（2.39±1.92）d。②出院时、出院后1 周、出院后1 个月、出院后3 个月、出院后6 个月的MBI 得分分别为（74.02±14.68) 分、（73.59±11.87) 分、（79.26±10.59) 分、（80.47±9.54) 分、（82.35±8.21) 分。结论：4C 模式有助于无张力腹股沟疝修补术患者日间手术后早期恢复，提高其日常生活活动能力。

Abstract: Objective: To discuss the effects of 4C model in the transitional care of patients with tension free inguinal hernia repair after day surgery. Methods: A total of 120 patients having tension free inguinal hernia repair after day surgery accepted 4C (comprehensiveness, continuity, coordination, and collaboration) transitional care and the effects were evaluated. Results: The scores of VAS was (3.75±0.91) at 7 days after operation, respectively. Forty-one (34.17%) patients had constipation 7 days after surgery, and twenty-six (21.67%) had uroschesis. Abdominal distension lasted days (2.39±1.92) days averagely. The sores of MBI at discharge, 1 weeks, 1 month, 3 months, 6 months after discharge were (74.02±14.68), (73.59±11.87), (79.26±10.59), (80.47±9.54),and (82.35±8.21), respectively. Conclusion: The 4C model is helpful to the early postoperative rehabilitation for patients with tension free inguinal hernia repair after day surgery and could improve their daily living activities.

张丽青郑冬华许多陈丽莉. 4C模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中的应用[J]. , 2015, 15(11): 1405-1407.