摘要
目的探讨快速康复理念联合提肛运动对混合痔术后的护理效果。方法纳入2019年11月~2020年12月收治的混合痔患者120例,采用随机数表法分2组,每组60例。对照组给予提肛运动训练,观察组给予提肛运动+快速康复理念护理。比较2组护理疗效,记录护理前后疼痛、出血、水肿、肛门坠胀等症状评分、焦虑评分、睡眠质量、生存质量评分变化,统计护理期间并发症发生情况。结果观察组总有效率95.00%,明显高于对照组81.67%(P<0.05);护理后,2组的疼痛、出血、水肿、肛门坠胀等评分均降低,且观察组[(0.71±0.11)分、(0.81±0.18)分、(0.64±0.11)分、(0.91±0.14)分]明显低于对照组[(1.44±0.31)分、(1.51±0.26)分、(1.29±0.32)分、(1.42±0.21)分](P<0.05);护理后,2组的焦虑、睡眠质量评分降低,且观察组[(12.21±2.91)分、(10.21±2.11)分]低于对照组[(18.41±2.87)分、(15.45±2.89)分],而生存质量评分升高,观察组[(75.31±4.19)分]高于对照组[(66.87±4.09)分](P<0.05);观察组并发症发生率3.33%,明显低于对照组的15.00%(P<0.05)。结论混合痔患者术后给予快速康复理念联合提肛运动护理可有效改善疼痛、出血、水肿、肛门坠胀等症状,缓解负性情绪,并发症少,促进早日康复,提高生存质量。
Objective To explore the nursing effect of rapid rehabilitation concept combined with anal lifting exercise on postoperative mixed hemorrhoids.Methods From November 2019 to December 2020,120 patients with mixed hemorrhoids were randomly divided into two groups,60 cases in each group.The control group was given anal movement training,and the observation group was given anal movement+rapid rehabilitation concept nursing.The nursing effects of the two groups were compared.The scores of pains,bleeding,edema,anal distension,anxiety,sleep quality and quality of life were recorded before and after nursing.The incidence of complications during nursing was counted.Results The total effective rate of the observation group was 95.00%,which was significantly higher than 81.67%of the control group(P<0.05).After nursing,the scores of pains,bleeding,edema and anal distension in the two groups were decreased,and the observation group[(0.71±0.11),(0.81±0.18),(0.64±0.11),(0.91±0.14)]was significantly lower than that in the control group[(1.44±0.31),(1.51±0.26),(1.29±0.32),(1.42±0.21)points](P<0.05).After nursing,the anxiety and sleep quality scores of the two groups decreased,and the observation group[(12.21±2.91),(10.21±2.11)]was lower than that in the control group[(18.41±2.87),(15.45±2.89)],while the quality-of-life score in the observation group(75.31±4.19)was significantly higher than that in the control group(66.87±4.09)(P<0.05).The incidence of complications in the observation group was 3.33%,which was significantly lower than 15.00%in the control group(P<0.05).Conclusion Patients with mixed hemorrhoids after operation given the concept of rapid rehabilitation combined with anal movement intervention can improve the treatment effect,effectively improve the pain,bleeding,edema,anal swelling and other symptoms,relieve negative emotions,fewer complications,promote early recovery,improve the quality of life.
作者
李琰
Li Yan(General Surgery Second Department,Korla Hospital of the Second Division of Xinjiang Production and Construction Corps,Korla,841000,Xinjiang,China)
出处
《新疆医学》
2022年第12期1459-1462,共4页
Xinjiang Medical Journal
关键词
混合痔
快速康复理念
提肛运动
生存质量
睡眠质量
疗效
并发症
Mixed hemorrhoids
Rapid rehabilitation concept
Lifting anus movement
Quality of life
Sleep quality
Curative effect
complication