预见性护理在肛周脓肿术后患者中的应用  

Application of Predictive Nursing in Patients with Perianal Abscess after Operation

作　　者：李沛 LI Pei(Department of Surgery,Nanyang Second People’s Hospital,Nanyang,Henan,473000,China)

机构地区：[1]南阳市第二人民医院外科,河南南阳473000

出　　处：《黑龙江医学》2022年第10期1270-1272,共3页Heilongjiang Medical Journal

基　　金：河南省教育厅自然科学研究计划项目(2011A360005)。

摘　　要：目的:探讨预见性护理在肛周脓肿手术患者中的应用价值。方法:选取2019年7月-2020年7月南阳市第二人民医院收治的100例行手术治疗的肛周脓肿患者作为研究对象,采用随机数表法分为观察组和对照组,每组各50例。对照组行常规护理,观察组在对照组基础上行预见性护理,两组患者均护理10 d,术后进行2个月的随访。于护理前、护理10 d,采用视觉模拟评分法 (VAS) 评估,比较两组患者疼痛程度。比较护理期间两组患者的依从性、术后切口感染以及肛门功能障碍的发生情况,于术前、术后 2 个月,采用生活质量评定量表 (SF-36) 评估,比较两组患者的生活质量。结果:护理10 d后,观察组VAS评分低于对照组,差异有统计学意义 (t=7.166,P<0.05);护理期间,观察组总依从率高于对照组,差异有统计学意义 (χ^(2)=12.705,P<0.05);观察组术后切口感染以及肛门功能障碍发生率低于对照组,差异有统计学意义 (χ^(2)=4.000,P<0.05);术后2个月,两组患者SF-36各维度评分均较术前提高,且观察组各项评分均高于对照组,差异有统计学意义 (P<0.05)。结论:肛周脓肿患者在术后采用预见性护理,患者依从性较高,能有效减轻患者术后伤口疼痛程度,减少术后并发症的发生率,促进术后生活质量恢复。Objective: To explore the application value of predictive nursing in patients with perianal abscess. Methods: 100patients with perianal abscess treated surgically in the hospital from July 2019 to July 2020 were selected as the research objects.They were randomly divided into observation group and control group, with 50 cases in each group. The control group received routine nursing and the observation group received predictive nursing on this basis. Both groups received nursing for 10 d and were followed up for 2 months. Before nursing and 10 d of nursing, the pain degree of the two groups was compared(evaluated by visual analog scale [VAS]). The compliance of the two groups during nursing was compared. The incidence of postoperative incision infection and anal dysfunction in the two groups during nursing were counted. The quality of life of the two groups was compared before and 2 months after operation(assessed by quality of life rating scale [SF-36]). Results: After 10 d of nursing, the VAS score of the observation group was lower than that of the control group, and the difference was statistically significant(t=7.166, P<0.05).During the nursing period, the total compliance rate of the observation group was higher than that of the control group, and the difference was statistically significant(χ^(2)=12.705, P<0.05). The incidence of postoperative incision infection and anal dysfunction in the observation group was lower than that in the control group, and the difference was statistically significant(χ^(2)=4.000, P<0.05). Two months after operation, the scores of SF-36 dimensions in the two groups were all improved compared with those before operation, and the scores in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: Predictive nursing for patients with perianal abscess after operation has high compliance, which can effectively reduce postoperative wound pain, reduce the occurrence of postoperative complications and prom

关 键 词：肛周脓肿术 预见性护理 疼痛评分 依从性 生活质量 

分 类 号：R47[医药卫生—护理学]