Effect of Perioperative Holistic Nursing Service Based on Clinical Pathway in Patients with Anal Fistula
Objective To study the effect of perioperative holistic nursing service based on clinical pathway on postoperative pain and urinary retention in patients with anal fistula.Methods A total of 64 patients with anal fistula who underwent surgical treatment at Tianjin People's Hospital from January 2020 to January 2023 were selected as the research subjects and randomly divided into two groups using a random number table method.The control group(32 cases)received routine care,while the observation group(32 cases)received perioperative holistic care based on clinical pathways.The postoperative pain level,urination status,and self-care skills of both groups were observed.Results There was statistically difference in postoperative visual analog scale(VAS)scores between the two groups of patients,and the observation group had lower scores(P<0.05).The first urination time in the observation group was shorter,and the incidence of urinary retention and urinary tract irritation was lower(P<0.05).The exercise of self-care agency scale(ESCA)scores of the observation group were higher(P<0.05).Conclusion Perioperative holistic nursing based on clinical pathway could significantly relieve postoperative pain and reduce the incidence of urinary retention in patients with anal fistula.