集束化疼痛管理对环状混合痔外剥内扎术后患者自护能力及并发症的影响  

The Effect of Bbundle Pain Management on Self-Care Ability and Complications of Patients after External and Internal Ligation of Circular Mixed Hemorrhoids

作　　者：孔桂香 KONG Gui-xiang(Department of External Proctology,Heze Hospital of Traditional Chinese Medicine,Heze Shandong,274000,China)

机构地区：[1]菏泽市中医医院外五肛肠科,山东菏泽274000

出　　处：《中华养生保健》2025年第6期115-119,共5页CHINESE HEALTH CARE

摘　　要：目的探讨集束化疼痛管理对环状混合痔外剥内扎术后患者自护能力及并发症的影响。方法选取2022年2月—2024年2月菏泽市中医医院收治并行外剥内扎术后的80例环状混合痔患者为研究对象,按照随机数表法将患者分为对照组和观察组,每组40例。对照组给予常规管理,观察组给予集束化疼痛管理。比较两组疼痛[视觉模拟评分法(VAS)]、自护能力[自护能力测定量表(ESCA)]、并发症及生活质量[中文版健康调查简表(SF-36)]。结果管理前,两组VAS评分比较,差异无统计学意义(P>0.05);管理后,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。管理前,两组ESCA 评分比较,差异无统计学意义(P>0.05);管理后,观察组ESCA 各维度评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。管理前,两组SF-36 评分比较,差异无统计学意义(P>0.05);管理后,观察组SF-36 各维度评分高于对照组,差异有统计学意义(P<0.05)。结论 集束化疼痛管理有助于减轻环状混合痔外剥内扎术后患者疼痛,提高其自护能力,减少并发症发生,利于提高患者生活质量。Objective To explore the eff ect of bundle pain management on self-care ability and complications in patients with circular mixed hemorrhoids after external and internal ligation.Methods Eighty patients with circular mixed hemorrhoids who underwent external and internal ligation in Heze hospital of traditional chinese medicine from February 2022 to February 2024 were randomly divided into two groups,each with 40 cases.The control group received routine management,while the observation group received bundle pain management.The pain[Visual Analog Scale(VAS)],self-care ability[Self care Ability Scale(ESCA)],complications,and quality of life[Chinese version of Health Survey Brief(SF-36)]were compared between the two groups using a digital table method.Results Comparison of the VAS scores of the 2 groups before management,the diff erence was not statistically signifi cant(P>0.05),after management,the VAS scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Comparison of the ESCA scores of the 2 groups before management,the difference was not statistically significant(P>0.05),and after management,the scores of the ESCA dimensions of the observation group were higher than those of the control group,and the diff erence was statistically signifi cant(P<0.05).The complication rate of the observation group was lower than that of the control group,and the diff erence was statistically signifi cant(P<0.05).Comparison of SF-36 scores between the 2 groups before management,the difference was not statistically significant iso(P>0.05),after management,the SF-36 scores of each dimension in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Bundled pain management can help alleviate postoperative pain in patients with circular mixed hemorrhoids,improve their self-care ability,reduce the occurrence of complications,and improve their quality of life.

关 键 词：环状混合痔 外剥内扎术后 集束化疼痛管理 疼痛程度 自护能力 并发症 生活质量 

分 类 号：R473.6[医药卫生—护理学]