前瞻性主动护理配合银离子敷料在肛周脓肿患者术后门诊护理中的应用  

Application of prospective active nursing combined with silver ion dressing in postoperative outpatient nursing of perianal abscesses

作　　者：张小华 陈丽 袁中旭 ZHANG Xiaohua;CHEN Li;YUAN Zhongxu(Department of Wound Ostomy Clinic,Anhui No.2 Provincial People’s Hospital,Anhui,Hefei 230011,China;不详)

机构地区：[1]安徽省第二人民医院伤口造口门诊,合肥市230011 [2]安徽省第二人民医院普外科,合肥市230011

出　　处：《河北医药》2024年第17期2700-2704,2709,共6页Hebei Medical Journal

基　　金：安徽省卫生健康科研项目(编号:AHWJ2022a003)。

摘　　要：目的探讨前瞻性主动护理配合银离子敷料在肛周脓肿患者术后门诊护理中的应用效果。方法选择2021年1月至2023年6月伤口造口门诊接受专科护理的肛周脓肿术后患者80例,随机数字表法分成对照组和研究组,每组40例。对照组予以常规门诊护理干预,研究组予以前瞻性主动护理配合银离子敷料。比较2组创面愈合情况、肛门功能恢复情况(Wexner评分)、并发症发生率、复发率、生活质量综合评定问卷(GQOLI-74)和护理满意率的差异。结果干预后,2组疼痛、红肿、肉芽组织生长状态评分、Wexner各维度评分均低于干预前,且研究组低于对照组(P<0.05),研究组的渗液消失时间、新生上皮出现时间、创面愈合时间均短于对照组(P<0.05);研究组的并发症发生率、复发率均低于对照组(P<0.05);2组GQOLI-74量表各维度评分均高于干预前,且研究组高于对照组(P<0.05);研究组护理满意率高于对照组(P<0.05)。结论前瞻性主动护理配合银离子敷料在肛周脓肿患者术后门诊护理中的应用效果显著,能有效加速创面愈合,促进肛门功能恢复,减少疾病复发和相关并发症的发生,提高生存质量及护理满意度。Objective To explore the application effect of prospective active nursing combined with silver ion dressing on postoperative outpatient nursing of perianal abscesses.Methods A total of 80 patients with perianal abscesses managed by specific nursing in the ostomy clinic from January 2021 to June 2023 were included.They were randomly assigned into the control group(40 cases,routine outpatient nursing)and study group(40 cases,prospective active nursing combined with silver ion dressing).The differences in wound healing,recovery of anal function(assessed by the Wexner score),incidence of complications,recurrence rate,score of the Generic Quality of Life Inventory 74(GQOLI-74)and nursing satisfaction rate between the two groups were compared.Results After intervention,scores of pain,swelling,granulation tissue growth and the Wexner scores in all dimensions were significantly reduced in both groups,which were significantly lower in the study group than the control group(P<0.05).The disappearance time of seepage,emergence time of new epithelium and wound healing time were significantly shorter in the study group than the control group(P<0.05).The incidence of complications and recurrence rate were significantly lower in the study group than the control group(P<0.05).After intervention,the GQOLI-74 scores significantly increased in both groups,which were significantly higher in the study group than the control group(P<0.05).The nursing satisfaction rate was significantly higher in the study group than the control group(P<0.05).Conclusion The application effect of prospective active nursing combined with silver ion dressing is significant on postoperative outpatient nursing of perianal abscesses,which can effectively accelerate wound healing,and recovery of anal function,reduce disease recurrence and related complications,and improve quality of life and nursing satisfaction.

关 键 词：肛周脓肿 前瞻性主动护理 银离子敷料 肛门功能 

分 类 号：R574.8[医药卫生—消化系统]