多学科协作模式延续护理在痔疮患者术后疼痛管理中的应用  

Application of transitional nursing with multidisciplinary cooperative model in management of postoperative pain in patients with hemorrhoids

作　　者：张科平 马婧[1] 王玲琴[1] Zhang Keping;Ma Jing;Wang Lingqin(Department of Anorectal Surgery,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院肛肠外科,温州325000

出　　处：《中华现代护理杂志》2020年第35期4984-4987,共4页Chinese Journal of Modern Nursing

基　　金：温州市基础性科研项目(2019Y0560)。

摘　　要：目的探讨多学科协作模式延续护理在痔疮患者术后疼痛管理中的效果。方法采用便利抽样法,选取温州医科大学附属第二医院肛肠外科2019年1月—2020年1月收治的80例痔疮手术患者,随机分为观察组(40例)和对照组(40例)。观察组采用多学科协作模式延续护理,对照组采用常规护理。比较两组患者干预前后的疼痛数字评分表(NRS)评分、水肿消退时间、创面愈合时间及护理满意度情况。结果观察组干预后7 d的疼痛NRS评分低于对照组,差异有统计学意义(t=2.106,P=0.038);干预后1个月复查,观察组的疼痛NRS评分低于对照组,差异有统计学意义(t=9.159,P<0.01);观察组患者干预后的水肿消退时间和创面愈合时间短于对照组,差异有统计学意义(t值分别为8.754、4.111;P<0.01);观察组患者干预后的总满意度高于对照组,差异有统计学意义(χ^2=7.314,P<0.01)。结论多学科协作模式延续护理能够降低痔疮术后患者的疼痛情况,促进水肿消退和创面愈合,提高患者的满意度。Objective To explore effects of transitional nursing with multidisciplinary cooperative model in management of postoperative pain in patients with hemorrhoids.Methods By the convenient sampling method,a total of 80 patients who underwent hemorrhoids surgery in Department of Anorectal Surgery in the Second Affiliated Hospital of Wenzhou Medical University from January 2019 to January 2020 were selected.They were randomly divided into the observation group(40 cases)and the control group(40 cases).The observation group adopted transitional nursing with multidisciplinary cooperative model,while the control group adopted routine nursing.The Numerical Rating Scale(NRS)score of pain,edema regression time,wound healing time and nursing satisfaction of two groups were compared before and after the intervention.Results After 7 days of intervention,the NRS score of pain in the observation group was lower than that in the control group,and the difference was statistically significant(t=2.106,P=0.038).After 1 month of intervention,the NRS score of pain in the observation group was lower than that in the control group,and the difference was statistically significant(t=9.159,P<0.01).The time of edema regression and wound healing after intervention in the observation group were shorter than those in the control group,and the differences were statistically significant(t=8.754,4.111;P<0.01).The total satisfaction degree of patients in the observation group was higher than that of the control group after intervention,and the difference was statistically significant(χ^2=7.314,P<0.01).Conclusions Transitional nursing with multidisciplinary cooperative model can reduce pain of patients after hemorrhoids surgery,promote time of edema regression and wound healing and improve nursing satisfaction of the patients.

关 键 词：疼痛 痔疮 肛肠外科 多学科协作 延续护理 

分 类 号：R473.6[医药卫生—护理学]