快速康复外科护理对痔疮患者术后效果及疼痛程度的影响  

The Impact of the Concept of Rapid Rrehailitation Surgery on the Degree and Effectiveness of Postoperative Pain in Patients with Hemorrhoids

作　　者：林春虾 郭锦缎 LIN Chunxia;GUO Jinduan(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中国医药指南》2023年第22期30-33,共4页Guide of China Medicine

摘　　要：目的 痔疮患者围手术期内引入快速康复外科理念护理,旨在探讨其对临床效果及疼痛程度的影响。方法 研究以痔疮患者为观察对象,共有60例入组,均为2021年1月至2022年12月厦门大学附属第一医院收治的患者,入组后以随机数字表法分组,一组实行快速康复外科理念护理(观察组,n=30),一组实行常规护理(对照组,n=30),将术后疼痛情况、术后水肿、创面情况、睡眠质量改善情况、生活质量情况、术后相关并发症发生情况作为评价指标,总结不同护理方案的临床差异。结果 观察组患者术后不同时间段(术后24 h、术后48 h、首次换药时、首次排便时)VAS评分均低于对照组(P <0.05);观察组患者术后48h水肿评分、出院前创面评分低于对照组;创面愈合时间短于对照组(P <0.05);观察组患者PSQI量表各维度评分均低于对照组(P <0.05);术后生活质量改善评定,观察组患者SF-36各维度评分均高于对照组(P <0.05);观察组患者术后肛门水肿、术后感染、消瘦、压力性损伤等并发症总发生率低于对照组(P <0.05)。结论 在痔疮患者围手术期内引入快速康复外科理念护理,能够有效促进患者的术后恢复,改善患者的睡眠、生活质量,预防术后并发症发生,效果显著,推荐参考使用。Objective The concept of rapid rehabilitation surgery nursing was introduced in the perioperative period of hemorrhoids patients,aiming to explore its effect on clinical effect and pain degree.Methods A total of 60 patients with hemorrhoids were enrolled in the study,who were admitted to the First Affiliated Hospital of Xiamen University from January 2021 to December 2022.After enrollment,they were randomly divided into groups using a number table method.One group received rapid rehabilitation surgical concept nursing(observation group,n=30),while the other group received routine nursing(control group,n=30).The postoperative pain,postoperative edema,wound condition,sleep quality improvement,and quality of life were recorded.The occurrence of postoperative complications is used as an evaluation criterion to summarize the clinical advantages and disadvantages of different nursing plans.Results The VAS pain scores of patients in the observation group were lower than those in the control group at different postoperative time periods(24 hours,48 hours,the first dressing change,and the first defecation)(P<0.05).The edema score of patients in the observation group at 48 hours after surgery was lower than that of the control group,the wound score before discharge was lower than that of the control group,the wound healing time was lower than that of the control group(P<0.05).The PSQI sleep quality scale scores of all dimensions in the observation group were lower than those in the control group(P<0.05).In the evaluation of postoperative quality of life improvement,the SF-36 health survey summary table scores of patients in the observation group were higher in all dimensions than those in the control group(P<0.05).The total incidence of postoperative complications such as anal edema,infection,weight loss,and pressure injury in the observation group was lower than that in the control group(P<0.05).Conclusion Introducing the concept of rapid rehabilitation surgery nursing to hemorrhoid patients during the perioperative perio

关 键 词：快速康复外科理念 痔疮 术后疼痛程度 

分 类 号：R657.18[医药卫生—外科学] R473.6[医药卫生—临床医学]