加速康复外科及图文式健康教育模式对老年腹股沟疝手术患者心理状态的影响

目的探究加速康复外科及图文式健康教育模式对老年腹股沟疝手术患者心理状态的影响。 方法前瞻性选取2020年1月至2021年10月西南医科大学附属医院收治的120例老年腹股沟疝手术患者，随机分为对照组和观察组，每组患者60例。对照组采用常规护理模式；观察组采用加速康复外科及图文式健康教育模式。观察2组患者术后恢复情况、术后疼痛程度、围手术期焦虑抑郁程度及满意度评价。 结果观察组患者肛门排气时间、肠鸣音恢复时间、下床活动时间以及住院天数均少于对照组（P<0.05）；观察组患者术后6 h及出院时疼痛视觉模拟评分均低于对照组（P<0.05）；出院时，2组患者汉密尔顿焦虑量表和抑郁量表评分均明显降低，且观察组降低程度明显优于对照组（P<0.05）。观察组患者非常满意度（41.67%）及满意度（90.00%）均明显高于对照组（23.33%，75.00%），差异均有统计学意义（P<0.05）。 结论加速康复外科及图文式健康教育模式应用于围手术期能有效控制老年腹股沟疝患者疼痛程度，缩短患者住院时间，促进患者术后恢复，并能有效调节患者心理状态，缓解其焦虑抑郁情绪。

Influence of enhanced recovery after surgery and graphic and text-based health education model on mental state of elderly patients with inguinal hernia surgery

ObjectiveTo explore the effects of enhanced recovery after surgery and graphic and text-based health education model on the psychological state of elderly patients with inguinal hernia surgery. Methods120 elderly patients with inguinal hernia surgery from January 2020 to October 2021 were prospectively selected and randomly divided into a control group and an intervention group, with 60 patients in each group. The control group was given the routine nursing model; the intervention group was given the enhanced recovery surgery and graphic health education model. The postoperative recovery, postoperative pain, perioperative anxiety and depression, postoperative complications and recurrence rates, and satisfaction evaluation of the two groups were observed. ResultsThe anal exhaust time, bowel sound recovery time, out-of-bed activity time, and length of stay in the intervention group were all shorter than those in the control group (P<0.05); the pain visual analog scale scores in the intervention group 6 hours after operation and at discharge were lower than those in the control group group (P<0.05); at the time of discharge, the scores of Hamilton Anxiety Scale and Depression Scale in the two groups were significantly reduced, and the degree of reduction in the observation group was significantly better than that in the control group (P<0.05); The patients in the intervention group were significantly more satisfied (41.67%) and satisfied (90.00%) than the control group (23.33%, 75.00%) (P<0.05). ConclusionThe application of accelerated rehabilitation surgery and graphic health education mode to the perioperative period can effectively control the pain level of elderly inguinal hernia patients, shorten the hospital stay, promote the postoperative recovery of patients, and effectively adjust the psychological state of patients, and relieve their anxiety and depression.