Experience of 4C nursing mode in day surgery of inguinal hernia

Objective To explore the value of 4C nursing mode in the prevention and treatment of postoperative complications in patients with inguinal hernia undergoing day surgery. Methods 30 patients with inguinal hernia who underwent day surgery in the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from January 2017 to January 2018 were selected as the research objects. All patients were treated with 4C nursing mode during the perioperative period. All patients were followed up regularly for 6 months after operation. Their clinical data were retrospectively analyzed, and the operative effects and complications were analyzed. Results the number of complications was small, and all patients were discharged smoothly after symptomatic intervention; The average operation time was (29.45±11.53) minutes, the average hospitalization time was (10.24±2.78) hours, and the average total treatment cost was (7259.14±1053.91) yuan. Postoperative incision pain occurred in 2 cases, scrotal hematoma in 1 case (healing after scrotum elevating, without puncture), inguinal edema in 2 cases, and urinary retention in 1 case. The modified barthel index scores of 30 patients before discharge, one week after discharge, three months after discharge and six months after discharge were (73.26±13.82) scores, (79.11±14.05) scores, (82.09±14.16) scores and (84.17±15.83) scores, respectively. Compared with before discharge, the MBI score gradually increased one week to six months after discharge (P<0.05). Conclusion The day surgery of inguinal hernia has achieved remarkable clinical effect. The intervention of 4C nursing mode during perioperative period and after discharge can effectively reduce the occurrence of postoperative complications and improve the quality of life of patients, so it has a higher application value. Key words: Hernia, nguinal; Day surgery; Complication; Clinical effect