优质护理服务在老年复杂性肛瘘手术患者中的应用及对术后疼痛、尿潴留、焦虑抑郁和生活质量的影响  

Application of High Quality Nursing Service in Elderly Patients with Complex Anal Fistula Surgery and its Effects on Postoperative Pain,Urinary Retention,Anxiety and Depression and Quality of Life

作　　者：陈丽[1] 李庆 邹敏 

机构地区：[1]四川省雅安市人民医院肛肠科,雅安625000

出　　处：《当代护士（下旬刊）》2018年第3期43-46,共4页Modern Nurse

摘　　要：目的探讨优质护理服务在老年复杂性肛瘘手术患者中的应用及对术后疼痛、尿潴留、焦虑抑郁及生活质量的影响。方法选择本院70例老年复杂性肛瘘患者为研究对象,采用随机数字表分为对照组与观察组,每组35例。对照组采用常规护理,观察组采用优质护理。评估两组术前、术后、术后1 d及出院时疼痛评分,比较两组住院时间、创面愈合时间、护理满意度,评估其焦虑、抑郁情绪,并在术后随访3个月,评估术前、出院3个月时肛门功能及生活质量,并统计两组并发症发生情况及复发率。结果观察组住院时间、创面愈合时间短于对照组,护理满意评分显著高于对照组(P<0.05);对照组术后1 d、出院时VAS(7.2±0.3)分、(4.1±0.5)分,均显著高于观察组(6.8±0.4)分、(3.5±0.4)分(P<0.05);对照组出院时SAS、SDS评分(53.1±5.7)分、(54.6±6.5)分,均显著高于观察组(48.4±5.6)分、(46.4±5.5)分(P<0.05);随访3个月,对照组肛门功能评分(9.4±1.1)分,显著高于观察组(7.2±0.9)分,对照组生活质量评分(81.4±11.3)分,显著低于观察组(91.5±12.4)分(P<0.05);对照组并发症总发生率31.4%,显著高于观察组8.6%(P<0.05),以上所有差异均具有统计学意义。两组复发率及尿储留发生率均无显著差异(P>0.05)。结论优质护理服务可显著改善老年复杂性肛瘘手术患者焦虑、抑郁等负性情绪,降低并发症发生率,提升其生活质量,有效促进患者康复。Objective To explore the application of high quality nursing services in elderly patients with complex anal fistula surgery and its effects on postoperative pain,urinary retention,anxiety and depression and quality of life.Methods 70 elderly patients with complex anal fistula treated in our hospital were selected for the study and divided into the control group and the observation group with 35 cases in each group according to the random number table method.The control group was treated with routine nursing and the observation group was treated with high quality nursing.The pain scores before and after operation,1 d after operation and at discharge were evaluated between the two groups,and the hospital stay,wound healing time and nursing satisfaction were compared between the two groups,and their anxiety and depression were evaluated.And the patients were followed up for 3 months,and the anal function and quality of life were evaluated before operation and at 3 months after discharge,and the complication occurrence and recurrence rate were recorded in the two groups. Results The hospital stay,wound healing time and nursing satisfaction score were significantly higher in the observation group than those in the control group（ P0.05）.The VAS scores at 1 d after operation and at discharge were significantly higher in the control group than those in the observation group[（ 7.2±0.3） points vs.（ 6.8±0.4） points,（ 4.1±0.5） points vs.（ 3.5± 0.4） points ]（ P 0.05）. The SAS and SDS scores were significantly higher in the control group than those in the observation group[（ 53.1±5.7） points vs.（ 48.4±5.6） points,（ 54.6±6.5） points vs.（ 46.4±5.5） points ]（P0.05）.After 3 months of follow-up,the anal function score was significantly higher in the control group than that in the observation group（9.4±1.1）points vs.（7.2±0.9） [points],and the quality of life score was significantly lower in the control group than that in the observation group[（ 81.4± 11. 3） points vs

关 键 词：优质护理 复杂性肛瘘 术后疼痛 负性情绪 生活质量 

分 类 号：R473.6[医药卫生—护理学]