心理疏导联合健康指导对痔疮术后患者切口疼痛与生活能力的影响  

Impact of psychological counseling and health guidance on incision pain and living ability in patients after hemorrhoid surgeries

作　　者：郑丽英[1] 邓淑红[2] ZHENG Li-ying;DENG Shu-hong(Surgery Treatment Room,Department of Outpatien,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China;Department of General Surgery,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China)

机构地区：[1]南昌大学第四附属医院门诊部外科治疗室,江西南昌330003 [2]南昌大学第四附属医院普外科,江西南昌330003

出　　处：《中国当代医药》2018年第27期189-191,共3页China Modern Medicine

摘　　要：目的探讨心理疏导联合健康指导对痔疮术后患者切口疼痛与生活能力的影响。方法选取2016年1月～2018年3月我院收治的100例痔疮术后患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组各50例。对照组给予常规护理,观察组在对照组的基础上行心理疏导联合健康指导治疗。比较两组治疗后第1、3、5天的视觉模拟评分(VAS评分)切口疼痛和生活自理能力的情况。结果两组治疗后第3天的VAS评分低于本组治疗后第1天,治疗后第5天的VAS评分低于本组治疗后第3天,差异有统计学意义(P<0.05),且观察组治疗后第1天VAS评分低于同时段的对照组,观察组治疗后第3天VAS评分低于同时段的对照组,观察组治疗后第5天VAS评分低于同时段的对照组,差异均有统计学意义(P<0.05),观察组治疗后生活能力优良率(96.00%)明显高于对照组(82.00%),差异有统计学意义(P<0.05)。结论对痔疮术后患者,采取心理疏导和健康指导可降低患者术后的切口疼痛,提高患者的生活自理能力,改善其生活质量。Objective To investigate the influence of psychological counseling and health guidance on incision pain and living ability in patients after hemorrhoid surgeries. Methods A total of 100 patients performed with hemorrhoid surgeries in our hospital from January 2016 to March 2018 were selected as the study subjects. According to the ran- dora number table method, they were equally divided into control group and observation group, 50 cases in each group. Patients in the control group were treated with routine care, while in the observation group, participants were provided with psychological counseling and health guidance on the basis of the control group. Visual analogue scale （VAS） scores of incision pain 1, 3, 5 day after treatment and self-care ability were compared between the two groups. Results The VAS score on the 3rd day after treatment in both groups were lower than that on the 1st day after treatment. The VAS score on the 5th day after treatment was lower than that on the 3rd day after treatment with statistical significance （P〈0.05）. In the observation group, the VAS scores 1, 3, 5 day after treatment were lower compared with those at the corresponding period in the control group with statistical significance （P〈0.05）. The excellent and good rate of living a- bility in the observation group was 96.00%, significantly higher than that in the control group accounting for 82.00% with significant difference （P〈0.05）. Conclusion For patients after hemorrhoid surgeries, application of psychological counseling and health guidance can alleviate postoperative incision pain, improve the patient＇s self-care ability, and ameliorate their quality of life.

关 键 词：心理疏导 健康指导 痔疮 切口疼痛 生活能力 

分 类 号：R473.6[医药卫生—护理学]