基于循证理念的路径化中医护理管理在围手术期混合痔患者中的应用效果  

Application effect of evidence-based pathway-based traditional Chinese medicine nursing management in patients with mixed hemorrhoids during perioperative period

作　　者：杨翠萍 吴晓莉 饶新 YANG Cuiping;WU Xiaoli;RAO Xin(The Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350000,China)

机构地区：[1]福建中医药大学附属第三人民医院,福建福州350000

出　　处：《中西医结合护理（中英文）》2023年第4期65-68,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探究基于循证理念的路径化中医护理管理在围手术期混合痔患者中的应用效果。方法 选择2022年1~7月福建中医药大学附属第三人民医院收治的132例混合痔患者作为研究对象,按信封随机法将其分入对照组(66例)和观察组(66例)。对照组予以常规护理,观察组实施基于循证理念的路径化中医护理管理,均持续护理至患者出院。比较2组的临床指标、肛周疼痛和肛门水肿情况。结果 相比于对照组,观察组的创面愈合时间、首次排便时间和首次排尿时间均更早,住院时间更短,首次排尿量更少,差异均有统计学意义(P均<0.05)。观察组术后首次排便时、术后6 h、术后12 h和术后24 h的视觉模拟评分法(VAS)评分均较对照组更低(P均<0.05)。观察组在术后1 d、2 d、3 d和4 d的肛门水肿评分均较对照组更低(P均<0.05)。结论 基于循证理念的路径化中医护理管理能够有效减轻混合痔患者术后肛周疼痛和肛门水肿程度,加快术后恢复进程。Objective To explore the application effect of evidence-based pathway-based traditional Chinese medicine nursing management in patients with mixed hemorrhoids during perioperative period.Methods A total of 132 patients with mixed hemorrhoids admitted to the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January to July 2022 were selected as the research subjects.They were assigned into a control group(66 cases)and an observation group(66 cases)via envelope randomization.The control group received routine nursing,while the observation group carried out evidence-based pathway-based traditional Chinese medicine nursing management.The nursing program lasted until the patients were discharged.The clinical indicators,perianal pain,and anal edema were compared between the two groups.Results Compared with the control group,the wound healing time,first defecation time,first urination time,and hospitalization time were shorter,and the first urination volume was less in the observation group(all P<0.05).The Visual Analogue Scale(VAS)scores in the observation group were lower than those in the control group at the first postoperative defecation,6 hrs,12 hrs,and 24 hrs after surgery(all P<0.05).The observation group had lower anal edema scores than the control group at 1,2,3,and 4 days after surgery(all P<0.05).Conclusion The evidence-based pathway-based traditional Chinese medicine nursing management can effectively reduce the intensity of postoperative perianal pain and anal edema in patients with mixed hemorrhoids,and accelerate the postoperative recovery process.

关 键 词：混合痔 循证理念 路径化中医护理管理 肛周疼痛 肛门水肿 

分 类 号：R248.2[医药卫生—中医临床基础]