人文关怀干预在混合痔手术患者护理中的应用以及对术后疼痛、排尿功能的影响  

The Application of Humanistic Intervention in the Care of Patients Undergoing Mixed Hemorrhoid Surgery and Its Effect on Postoperative Pain and Voiding Function

作　　者：唐金云 TANG Jinyun(Department of Orthopedics,Fuqing Third Hospital,Fuzhou 350301,China)

机构地区：[1]福清市第三医院骨科,福州350301

出　　处：《中国医药指南》2024年第16期170-172,共3页Guide of China Medicine

摘　　要：目的 探讨人文关怀干预在混合痔手术患者护理中的应用以及对术后疼痛、排尿功能的影响。方法 选择福清市第三医院2023年1月至2023年8月收治的80例混合痔手术患者作为研究对象,采用随机数字表法分为观察组和对照组,各40例,对照组采用常规护理进行干预,观察组加以人文关怀干预,比较两组患者手术当天和术后3 d的视觉模拟量表(VAS)评分,患者首次排尿时间、术后8 h总尿量、首次尿液排净时间和伤口愈合时间的排尿功能恢复情况、患者干预前后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、患者恢复过程发生出血、尿潴留、排便困难、肛缘水肿的并发症发生情况以及护理满意度。结果术后3 d,观察组患者VAS评分低于对照组(P<0.05)。观察组患者首次排尿时间、首次尿液排净时间和伤口愈合时间短于对照组,术后8 h总尿量多于对照组(P<0.05)。干预后,两组患者SAS评分与SDS评分均降低,且观察组患者SAS评分与SDS评分均低于对照组(P<0.05)。观察组患者并发症发生率10.00%低于对照组的42.50%(P<0.05)。观察组患者护理满意度为97.50%高于对照组的72.50%(P<0.05)。结论 采用人文关怀干预为混合痔手术患者实施护理服务,可明显缓解患者术后疼痛,改善排尿功能和心理状态,降低并发症发生率,促进尽快恢复,得到患者的高度认可。Objective To explore the application of humanistic care intervention in the nursing care of mixed hemorrhoid surgery patients and the effect on postoperative pain and urinary function.Methods A total of 80 cases of mixed hemorrhoid surgery patients admitted to Fuqing Third Hospital from January 2023 to August 2023 were selected as the study object,and were divided into the observation group and the control group using the random number table method,each with 40 cases,the control group used conventional nursing care to intervene,and the observation group added the humanistic caring intervention,and the two groups were compared with each other in terms of their visual analog scale(VAS) scores on the day of the surgery and the 3 d after the surgery,the time of the first time of the patient's urination,The recovery of urinary function of the patients on the day of surgery and 3 d postoperatively,the time of first urination,the total urine volume of 8 h postoperatively,the time of first bladder urination,and the time of wound healing,the scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) before and after the intervention,and the complications of bleeding,urinary retention,defecation difficulty,and anal verge edema during the process of recovery,as well as the satisfaction with the nursing care of the patients were compared.Results At 3 d postoperatively,the VAS score of patients in the observation group was lower than that of the control group(P<0.05).The time of first urination,the time of 1st bladder urination 1 time and the wound healing time of patients in the observation group were shorter than that of the control group,and the total urine volume was more than that of the control group in the 8 h postoperative period(P<0.05).After the intervention,the SAS score and SDS score of patients in both groups were reduced,and the SAS score and SDS score of patients in the observation group were lower than those in the control group(P<0.05).The complication rate of patients in the observation g

关 键 词：人文关怀 混合痔 护理 术后疼痛 排尿功能 

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