围术期全期护理对肛肠外科患者术后康复、自护能力的影响分析
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摘要
目的探讨围术期全期护理对肛肠外科患者术后康复、自护能力的影响。方法选取2017年1月～2018年3月于我院手术治疗的130例肛肠疾病患者,采用随机数字表法分为观察组和对照组,每组65例。其中观察组给予围术期全期护理措施,对照组在围术期接受常规护理。对比分析两组患者术后恢复情况(术后肠鸣音恢复时间、术后首次进食时间、术后首次排便时间、术后数次下床时间、术后住院时间及焦虑、疼痛评分、并发症发生率)、自护能力以及对护理的满意情况。结果观察组的自我护理能力均优于对照组,差异有统计学意义(P <0.05);在术后恢复情况方面,观察组术后肠鸣音恢复时间、术后首次进食时间、术后首次排便时间、术后首次下床时间、术后住院时间均短于对照组,术后疼痛评分、焦虑评分以及并发症发生率均明显低于对照组,差异均有统计学意义(P <0.05);观察组满意度得分明显高于对照组(P <0.05)。结论采用全期护理方式不仅有助于行肛肠手术患者自我照顾能力的提升,同时也能促进患者术后康复,减少患者疼痛感受,提高护理满意度。
Objective To explore the effect of perioperative full-time nursing on postoperative rehabilitation and self-care ability of patients in department of anorectal surgery. Methods 130 patients with anorectal diseases who were treated with surgery in our hospital from January 2017 to March 2018 were selected and they were divided into the observation group and the control group according to the random number table method, with 65 cases in each group. The observation group was given perioperative full-time nursing while the control group was given routine nursing during the perioperative period. The postoperative recovery(postoperative recovery time of bowel sound, first eating time after operation, first defecation time after operation, out of bed time after operation, postoperative hospital stay, anxiety score, pain score, incidence of complications), self-care ability and satisfaction with nursing were observed and compared between two groups. Results The self-care ability of the observation group was better than that of the control group, and the difference was statistically significant(P < 0.05). In terms of postoperative recovery,postoperative recovery time of bowel sound, first eating time after operation, first defecation time after operation, first lout of bed time after operation and postoperative hospital stay in the observation group were all shorter than those in the control group, and postoperative pain score, anxiety score and incidence of complications were all significantly lower than those in the control group. The differences were statistically significant(P < 0.05). The satisfaction score of the observation group was significantly higher than that of the control group(P < 0.05). Conclusion Full-time nursing not only helps to improve the self-care ability of patients undergoing anorectal surgery, but also promotes the postoperative rehabilitation, reduces pain perception and improves nursing satisfaction.
Objective To explore the effect of perioperative full-time nursing on postoperative rehabilitation and self-care ability of patients in department of anorectal surgery. Methods 130 patients with anorectal diseases who were treated with surgery in our hospital from January 2017 to March 2018 were selected and they were divided into the observation group and the control group according to the random number table method, with 65 cases in each group. The observation group was given perioperative full-time nursing while the control group was given routine nursing during the perioperative period. The postoperative recovery(postoperative recovery time of bowel sound, first eating time after operation, first defecation time after operation, out of bed time after operation, postoperative hospital stay, anxiety score, pain score, incidence of complications), self-care ability and satisfaction with nursing were observed and compared between two groups. Results The self-care ability of the observation group was better than that of the control group, and the difference was statistically significant(P < 0.05). In terms of postoperative recovery,postoperative recovery time of bowel sound, first eating time after operation, first defecation time after operation, first lout of bed time after operation and postoperative hospital stay in the observation group were all shorter than those in the control group, and postoperative pain score, anxiety score and incidence of complications were all significantly lower than those in the control group. The differences were statistically significant(P < 0.05). The satisfaction score of the observation group was significantly higher than that of the control group(P < 0.05). Conclusion Full-time nursing not only helps to improve the self-care ability of patients undergoing anorectal surgery, but also promotes the postoperative rehabilitation, reduces pain perception and improves nursing satisfaction.
引文
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[13]邓晓梅,聂胜林,王小芳,等.优质护理在痔上黏膜套扎术联合外剥内扎术治疗混合痔围手术期患者中的应用[J].海南医学,2018,29(12):1770-1772.
[14]陈慧萍,王群敏.肛肠外科患者的护理风险因素与护理对策[J].中医药管理杂志,2017,25(24):84-86.
[15]邹建峰,何莹,董玉君.肛肠外科日常护理中应用风险管理的效果与意义[J].中医药管理杂志,2018,26(13):142-144.
[16]魏红霞,乔英红.围术期全期护理对肛肠外科患者术后康复及自护能力的影响[J].国际护理学杂志,2014,21(6):1267-1268,1484.
[2]李丽,裴华莲,邵丽.手术室护理人员实施围术期保温护理现状的质性研究[J].中华现代护理杂志,2017,23(14):1863-1867.
[3]郭亚玲,邓慧敏,赵庆红,等.直肠肛管良性疾病的护理研究[J].世界最新医学信息文摘,2014,17(32):531-532.
[4]倪丽芳.快速康复外科理念在肠道癌症切除术护理中的应用[J].全科护理,2014,32(27):2567-2568.
[5]王兵兵,王玥,闫红磊,等.直肠肛管病患者78例围手术期中西医结合护理[J].中国医药指南,2014,16(15):313-314.
[6]张小丽.手术治疗肛周脓肿96例护理体会[J].世界最新医学信息文摘,2014,19(32):429-430.
[7]王莉,张春华.全程无缝护理模式在高龄患者围术期护理中的应用[J].护士进修杂志,2017,32(17):1591-1593.
[8]崔慧敏.围术期全期护理对肛肠外科患者术后康复及自护能力的影响观察[J].中国实用医药,2016,12(4):210-211.
[9]王敬斋,张树荣.Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,28(3):150-153.
[10]陈平,韩宝,周璐,等.我国居民常见肛肠疾病相关症状及分布特征[J].重庆医学,2017,46(8):1090-1092,1096.
[11]何兰珍,许佩君,陈晓琼.围术期全期护理对肛肠外科患者术后康复及自护能力的影响[J].临床医药文献电子杂志,2015,22(26):5471-5472.
[12]张宁,黄颖娴.快速康复外科理念结合中医特色护理在大肠癌围手术期的应用[J].泰山医学院学报,2017,7(3):297-299.
[13]邓晓梅,聂胜林,王小芳,等.优质护理在痔上黏膜套扎术联合外剥内扎术治疗混合痔围手术期患者中的应用[J].海南医学,2018,29(12):1770-1772.
[14]陈慧萍,王群敏.肛肠外科患者的护理风险因素与护理对策[J].中医药管理杂志,2017,25(24):84-86.
[15]邹建峰,何莹,董玉君.肛肠外科日常护理中应用风险管理的效果与意义[J].中医药管理杂志,2018,26(13):142-144.
[16]魏红霞,乔英红.围术期全期护理对肛肠外科患者术后康复及自护能力的影响[J].国际护理学杂志,2014,21(6):1267-1268,1484.