个性化护理模式对痔疮手术患者术后排尿排便困难的影响  

Effect of Personalized Care Model on Postoperative Difficult Urination and Defecation in Patients Undergoing Hemorrhoid Surgery

作　　者：王文宝[1] 张金花[2] WANG Wenbao;ZHANG Jinhua(Anorectal Surgery Room,Linyi Hospital of Traditional Chinese Medicine,Linyi 276000,Shandong,China;Depart-ment II of Anorectal,Linyi Hospital of Traditional Chinese Medicine,Linyi 276000,Shandong,China)

机构地区：[1]临沂市中医医院肛肠手术室,山东临沂276000 [2]临沂市中医医院肛肠二科,山东临沂276000

出　　处：《中外医疗》2024年第18期161-164,共4页China & Foreign Medical Treatment

摘　　要：目的探究个性化护理模式对痔疮手术患者术后排尿排便困难的影响。方法方便选取2022年1—12月于临沂市中医医院接受手术治疗的84例痔疮患者为研究对象,依照随机数表法分为对照组与观察组,各42例。对照组采用常规护理,观察组采用个性化护理,比较两组患者的生活质量、心理状态、术后排尿排便情况、护理满意度和并发症发生率。结果观察组术后首次排尿时间和首次排便时间短于对照组,差异有统计学意义(P均<0.05);干预后,观察组患者心理状态优于对照组,差异有统计学意义(P<0.05);观察组生活质量评分优于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率为2.38%、护理满意度为97.62%,优于对照组的19.05%、80.95%,差异有统计学意义(χ^(2)=4.480、4.480,P均<0.05)。结论应用个性化护理干预效果显著,可改善患者的不适感,缩短排尿、排便时间,提高生活质量及满意度,降低并发症发生率。Objective To explore the effect of personalized care mode on postoperative difficult urination and defeca-tion in patients undergoing hemorrhoid surgery.Methods Eighty-four patients with hemorrhoids who underwent surgi-cal treatment in Linyi Hospital of Traditional Chinese Medicine from January to December 2022 were conveniently se-lected for the study,and were divided into a control group and an observation group of 42 cases each in accordance with the method of random number table.The control group adopted conventional nursing care and the observation group adopted personalized nursing care,comparing the quality of life,psychological status,postoperative urination and defecation,nursing satisfaction and complication rate of patients in the two groups.Results The time of the first postoperative urination and the time of the first defecation situation in the observation group was shorter than that of the control group,and the difference was statistically significant(both P<0.05);after the intervention,the psychologi-cal state of the patients in the observation group was better than that of the control group,and the difference was statis-tically significant(P<0.05);the observation group's 36-Item Short Form Survey Instrument score were better than that of the control group,and the difference was statistically significant(P<0.05);the total complication rate of the observa-tion group was 2.38%and nursing satisfaction was 97.62%,which were better than 19.05%and 80.95%of the con-trol group,and the differences were statistically significant(χ^(2)=4.480,4.480,both P<0.05).Conclusion The applica-tion of personalized nursing intervention is effective,which can improve patients'discomfort,shorten the time of urination and defecation,improve the quality of life and satisfaction,and reduce the incidence of complications.

关 键 词：个性化护理 排尿排便困难 痔疮 护理满意度 

分 类 号：R47[医药卫生—护理学]