1. Pain: related to incarceration and strangulation of external abdominal hernia.
2. Insufficient body fluid: related to mechanical intestinal obstruction caused by incarceration and strangulation of external abdominal hernia.
3. Lack of knowledge: lack of health care knowledge about the causes of disease formation and prevention of disease recurrence.
Potential complications: intestinal strangulation and necrosis, scrotal hematoma and postoperative infection.
(2) Nursing measures
1. Preoperative care:
Psychological nursing should pay attention to eliminate the factors of increasing intra-abdominal pressure and make good skin preparation.
Nursing observation on the situation before emergency enema urination operation
2. Postoperative care:
① Lying position: lying flat for 3 days after operation, with a soft pillow under the knee to slightly bend the hip joint, so as to reduce the intra-abdominal pressure and the tension at the surgical suture, which is beneficial to healing and relieve the pain of the incision. It is not advisable to get out of bed too early after operation.
② Diet: after 6 ~ 12h, you can eat liquid or semi-liquid food, and you can eat general food the next day.
③ Prevention of infection: strict aseptic operation, pay attention to keep the dressing clean and dry to avoid urine pollution. Use antibiotics to prevent infection when necessary. ④ Prevention of postoperative bleeding: Observe whether there is bleeding in the wound. After indirect inguinal hernia operation, sandbags should be placed at the incision to compress 12 ~ 24h to prevent secondary infection caused by wound bleeding. Scrotal support or T-belt can be used to support the scrotum to prevent scrotal hematoma.
⑤ Prevention and treatment of intra-abdominal pressure: Keep warm after operation to prevent cough caused by cold. If there is cough, medication should be taken in time, and patients should be instructed to press the wound with their hands when coughing, so as to reduce the adverse effects of increased intra-abdominal pressure on wound healing. Pay attention to keep the urine and urine unobstructed.
3. Key points of health education: avoid the factors of increasing intra-abdominal pressure after operation and avoid recurrence.
(1) Pay attention to proper rest after discharge and gradually increase the activity. It is not advisable to take part in heavy physical labor or excessive activities within 3 months.
② Keep defecation unobstructed, drink plenty of water, eat a high-fiber diet, develop the habit of regular defecation and prevent constipation. If constipation occurs, laxatives can be used.
③ Actively prevent and treat related diseases, such as lung diseases and prostatic hypertrophy.