International Journal of Nursing Research

Objective To analyze the nursing of tension-free inguinal hernia repair patients treated by day surgery, and discuss the nursing effect of 4C mode in detail. Methods From May 2022 to May 2023 in our hospital, 78 patients who underwent tension-free inguinal hernia repair during day surgery were selected for the study, and the patients were randomly assigned to receive nursing care. 39 patients in one group received routine nursing mode (routine group). The other group of 39 patients were treated with 4C mode of nursing (4C group), and the symptom improvement time, postoperative pain, post-discharge activity of daily living (MBI) and postoperative complications were compared between the two groups. Results The improvement time of gastrointestinal peristalsis, anal exhaust time, getting out of bed and postoperative eating time in 4C group was significantly shorter than that in conventional group (p < 0.05). The VAS scores of patients in group 4C were significantly lower than those in the conventional group at all stages by evaluating the pain status of patients in the 2 groups at 3d-15d after surgery (p < 0.05). The patients were followed up at discharge and 1 week to 3 months after discharge, and the MBI score of 4C group was significantly higher than that of conventional group (p < 0.05). The incidence of postoperative complications (abdominal distension, urinary retention and incision infection) in 4C group was 2.56%, and 15.38% in conventional group, which was lower than that in obvious 4C group (p < 0.05). Conclusion The application of 4C mode is the most ideal for the nursing of patients with tension-free inguinal hernia repair treated by day surgery, which can effectively reduce the postoperative pain of patients and promote the improvement of symptoms as soon as possible, and is worth promoting.

4C model; Day surgery; Tension-free inguinal hernia repair; Nurse