持续质量改进联合个性化疼痛干预在混合痔患者术后药物湿敷期间的应用效果  

Application Effect of Continuous Quality Improvement Combined with Personalized Pain Intervention in Patients with Mixed Hemorrhoids During Postoperative Drug Wet Compress

作　　者：高丹丹[1] 陈明环[1] 蔡英晓 GAO Dandan;CHEN Minghuan;CAI Yingxiao(First People’s Hospital of Shangqiu,Shangqiu 476000,Henan,China)

机构地区：[1]商丘市第一人民医院,河南商丘476000

出　　处：《中国药物滥用防治杂志》2024年第4期677-680,689,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20221057)。

摘　　要：目的:探讨持续质量改进联合个性化疼痛干预在混合痔术后康复新液湿敷期间的应用效果。方法:纳入2021年6月—2023年6月医院收治的80例混合痔患者,依据随机数字表法分为对照组(40例,个性化疼痛干预)和观察组(40例,个性化疼痛干预+持续质量改进干预),均持续干预2周。比较两组临床康复时间、疼痛情况[视觉模拟评分法(VAS)]、治疗依从性[Morisky问卷8条目版本(MMAS-8)]及干预期间并发症发生情况。结果:观察组创面愈合时间、首次排便时间短于对照组(P<0.05);观察组术后48 hVAS评分低于对照组,干预2周时MMAS-8评分高于观察组(P<0.05);干预期间,观察组并发症总发生率低于对照组(P<0.05)。结论:混合痔术后康复新液湿敷期间采用持续质量改进联合个性化疼痛干预的应用效果显著,可缩短患者临床康复时间,提高患者治疗依从性,并降低患者疼痛和并发症发生率。Objective:To explore the application efect of continuous quality improvement combined with individualized pain intervention during the wet compress of Kangfuxin liquid after mixed hemorrhoid surgery.Methods:A total of 80 patients with mixed hemorrhoids admitted to the hospital from June 2021 to June 2023 were included.According to the random number table method,they were divided into control group(40 patients,personalized pain intervention)and observation group(40 patients,personalized pain intervention+continuous quality improvement intervention).Both groups continued to intervene for 2 weeks.The clinical rehabilitation time,pain[Visual Analogue Scale(VAS)],treatment compliance[Morisky Questionnaire 8 Item Version(MMAS-8)]and complications during intervention were compared between the two groups.Results:The wound healing time and the frst defecation time in the observation group were shorter than those in the control group(P<0.05).The VAS score at 48 h after operation in the observation group was lower than that in the control group,and the MMAS-8 score at 2 weeks after intervention was higher than that in the observation group(P<0.05).During the intervention,the total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of continuous quality improvement combined with personalized pain intervention during the wet compress of Kangfuxin liquid after mixed hemorrhoids has a signifcant efect,which can shorten the clinical rehabilitation time of patients,improve the treatment compliance of patients,and reduce the incidence of pain and complications.

关 键 词：持续质量改进 个性化疼痛干预 混合痔 康复新液 湿敷 

分 类 号：R473.6[医药卫生—护理学]