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Efficacy of clinical nursing pathway on inguinal hernia patients with laparoscopic total peritoneal hernia repair |
FAN Yue-xiu, LIAO Qiu-mei, FAN Hui-qin, HU Xian-yan |
Department of Gastroenterology,Fogang County People′s Hospital in Guangdong Province,Fogang 511600,China |
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Abstract Objective To investigate efficacy of clinical nursing pathway on inguinal hernia patients with laparoscopic total peritoneal hernia repair(TEP),and the influence on serum level of C-reactive protein (CRP).Methods 82 patients with inguinal hernia in our hospital from June 2015 to December 2016 were selected and randomly divided into the control group and the observation group,with 41 cases in each group,all cases were treated with TEP.The control group was given with routine nursing care,while the observation group was given clinical nursing pathway.The postoperative exhaust time,off-bed activity time,length of hospital stays,postoperative recovery time,complication,nursing satisfaction and serum CRP were compared between two groups.Results The postoperative exhaust time,off-bed activity time,length of hospital stays and postoperative recovery time in the observation group were shorter than those in the control group,the incidence of complication was lower than that in the control group,and the differences were statistically significant (P<0.05).Before operation,there were no significant differences in the level of serum CRP between two groups (P>0.05);12,24 h after operation,the level of serum CRP in two groups were all increased,and compared with those before operation,the differences were statistically significant (P<0.01),but those in the observation group was lower than those in the control group,and the differences were statistically significant (P<0.01).Conclusion Clinical nursing pathway can shorten time of postoperative exhaust time,bed time after operation,postoperative hospitalization,postoperative recovery time for inguinal hernia patients after TEP,reduce complications,increase satisfaction,and inhibiting serum level of CRP.
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Received: 01 June 2017
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