Archivos espanoles de urologia · 2025
Effect of Postural Care on Postoperative FLACC Score and Incision Recovery in Children Undergoing High Hernia Sac Ligation.
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Yu Hongling, Bai Qin, Yang Ling
Аннотация
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.
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.