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舒适护理在痔疮围手术期患者中的应用措施分析

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目的 探讨舒适护理在痔疮围手术期患者中的应用措施分析。方法 将2022年1-12月在本院肛肠科治疗的116例痔疮围手术期患者为研究对象,随机将其分为对照组和观察组,每组58例。其中,对照组使用常规护理,观察组使用舒适护理,对比两组的各项恢复指标、并发症情况、疼痛及心理状态评分、舒适度评分。结果 观察组术后首次排尿时间、术后首次排便时间、首次排便时长、肉芽组织与创面相平时间、创面愈合时间均短于对照组(P<0。05);观察组肛缘水肿、切口感染、出血、尿潴留等并发症发生率明显低于对照组(P<0。05);观察组术后1d、3d、5d的VAS疼痛评分以及护理后的SAS评分、SDS评分明显低于对照组(P<0。05);观察组护理后在生理、心理、环境等舒适度评分上均高于对照组(P<0。05)。结论 舒适护理在痔疮围手术期患者中的应用效果显著,能加快术后恢复速度,减少并发症,减轻疼痛,改善心理状态,提高舒适度。
Application Measures Analysis of Comfort Nursing for Perioperative Patients with Hemorrhoids
Objective To explore application measures of comfort nursing of patients with hemorrhoids during perioperative period.Methods The paper chose 116 hemorrhoids patients with perioperative treatment in proctology department of our hospital from January 2022 to December 2022,and divided them into two groups randomly.Control group was treated with routine nursing,while observation group with comfort nursing.Recovery indicators,complications,pains and psychological status scores,and comfort scores were compared between two groups.Results Observation group had shorter postoperative first urination time,first defecation time,first defecation duration,granulation tissue flush time with wound,and wound healing time than control group(P<0.05).Incidence of complications including anal edema,incision infection,bleeding and urinary retention in observation group was significantly lower than control group(P<0.05).VAS pain scores,SAS scores,and SDS scores after nursing in observation group were significantly lower than control group on the 1st,3rd,and 5th day after surgery(P<0.05).Observation group had higher comfort scores in physiological,psychological,and environmental aspects after nursing than control group(P<0.05).Conclusion Comfort nursing can achieve significant effect,accelerate postoperative recovery,reduce complications,alleviate pains,improve psychological status,and enhance comfort of patients with hemorrhoids during perioperative period.

HemorrhoidsPerioperative periodComfortable nursingEffectPains

赵高凤

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浙江省人民医院毕节医院 肛肠外科,贵州 毕节 551700

痔疮 围手术期 舒适护理 效果 疼痛

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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