Analysis of the effectiveness of 4C mode in continuing nursing care for patients undergoing tension-free inguinal hernia repair during daytime surgery
4C模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中的有效性分析

摘要

目的 探讨4C模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中的有效性。方法 研究采取对照形式，选取2025年1月-2026年1月在本院进行日间手术的无张力腹股沟疝修补术的120例患者作为研究对象，采用随机数字表法将所有患者进行分组，即对照组中分配到60例患者，该组进行常规出院指导，4C干预组中同样分配到60例患者，该组采用延续护理，根据患者的需求、成本感知、便利性和双向沟通四项原则展开护理。比较两组患者干预后的并发症发生率、依从性、疾病认知评分。结果 4C干预组的并发症发生率低于对照组（P＜0.05）；4C干预组的患者依从性高于对照组（P＜0.05）；4C干预组的疾病认知评分高于对照组（P＜0.05）。结论 4C模式在日间手术治疗无张力腹股沟疝修补术患者延续护理中具有较高作用，能够有效降低术后并发症，提升患者的依从性和疾病认知，该护理方式值得临床推广。

Abstract

Objective To explore the effectiveness of the 4C model in continuing nursing care for patients undergoing tension-free inguinal hernia repair during daytime surgery.
Methods The study adopted a controlled form and selected 120 patients who underwent tension-free inguinal hernia repair surgery in our hospital from January 2025 to January 2026 as the research subjects. All patients were randomly divided into two groups using a random number table method. The control group was assigned to 60 patients who received routine discharge guidance, while the 4C intervention group was also assigned to 60 patients who received continuous care. Nursing was carried out according to the four principles of patient needs, cost perception, convenience, and two-way communication. We compared the incidence of complications, compliance, and disease cognition scores between two groups of patients after intervention.
Results The incidence of complications in the 4C intervention group was lower than that in the control group (P<0.05); The compliance of patients in the 4C intervention group was higher than that in the control group (P<0.05); The disease cognitive score of the 4C intervention group was higher than that of the control group (P<0.05).
Conclusion   The 4C model plays a significant role in the continuity of nursing care for patients undergoing tension-free inguinal hernia repair during daytime surgery, effectively reducing postoperative complications, improving patient compliance and disease awareness. This nursing approach is worthy of clinical promotion.