Effect of Postural Care on Postoperative FLACC Score and Incision Recovery in Children Undergoing High Hernia Sac Ligation.

IF 0.9 4区医学 Q4 UROLOGY & NEPHROLOGY

Archivos Espanoles De Urologia Pub Date : 2025-07-01 DOI:10.56434/j.arch.esp.urol.20257806.102

Hongling Yu, Qin Bai, Ling Yang

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引用次数: 0

Abstract

Objective: To investigate the effect of postural nursing on the postoperative Face, Legs, Activity, Cry, Consolability (FLACC) scores and incision recovery of children undergoing high hernia sac ligation, which is an effective method for the treatment of inguinal hernia in children.

Methods: Clinical data were collected from paediatric patients who underwent laparoscopic high hernia sac ligation during the observation period in our hospital. According to different postoperative nursing methods, the children were divided into an observation group (postoperative position nursing) and a control group (postoperative routine nursing). The FLACC scores of the two groups of paediatric patients were obtained at 4, 12 and 24 h postoperatively. Data on the recovery time of relevant functions and surgical incision healing status for the two groups of paediatric patients were collected during the postoperative care period.

Results: A total of 207 paediatric patients' clinical data were collected and divided into an observation group (n = 103) and a control group (n = 104). The results of repeated measures analysis of variance (ANOVA) indicated a significant interaction effect between measurement time and group on the FLACC scores (p < 0.001). Further simple effect analysis revealed no statistically significant difference in FLACC scores between the two groups at time T0 (p > 0.05). However, at time points T1 and T2, the FLACC scores in the observation group were significantly lower than those in the control group (p < 0.001). The postoperative recovery indexes of the observation group were better than those of the control group (p < 0.001), and the total incidence of postoperative surgical incision complications was lower than that of the control group (p < 0.05).

Conclusions: Positional care has a significant effect on postoperative pain and incision recovery in children undergoing hernia sac ligation.

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体位护理对儿童高疝囊结扎术后FLACC评分及切口恢复的影响。

目的：探讨体位护理对儿童高位疝囊结扎术后面部、腿部、活动、哭泣、安慰（FLACC）评分及切口恢复的影响，是治疗儿童腹股沟疝的一种有效方法。方法：收集我院观察期间行腹腔镜高位疝囊结扎术的患儿的临床资料。根据患儿术后护理方法的不同，将患儿分为观察组（术后体位护理）和对照组（术后常规护理）。两组患儿分别于术后4、12、24 h进行FLACC评分。收集两组患儿术后护理期间相关功能恢复时间及手术切口愈合情况。结果：共收集患儿临床资料207例，分为观察组（n = 103）和对照组（n = 104）。重复测量方差分析（ANOVA）结果显示，测量时间和组对FLACC评分有显著交互作用（p < 0.001）。进一步的单效应分析显示，两组在T0时FLACC评分差异无统计学意义（p < 0.05）。但在T1、T2时间点，观察组FLACC评分显著低于对照组（p < 0.001）。观察组术后各项恢复指标均优于对照组（p < 0.001），术后手术切口并发症总发生率低于对照组（p < 0.05）。结论：体位护理对儿童疝囊结扎术后疼痛及切口恢复有显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-

CiteScore

0.90

自引率

0.00%

发文量

111

期刊介绍： Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.