路径化护理干预在高位复杂肛瘘患者外切内挂胶管引流术围手术期中的应用观察

Application of Pathway Nursing Intervention in Perioperative Surgery of High-Level Complex Anal Fistula Patients with Internal Excision and Hose Tube Drainage

目的观察路径化护理干预在高位复杂肛瘘患者外切内挂胶管引流术围手术期中的应用效果。方法选取我院2018年6月至2019年6月高位复杂肛瘘患者80例,均行外切内挂胶管引流术治疗,依照入院时间分为常规组40例、研究组40例。常规组予以常规护理干预,研究组基于常规护理予以路径化护理干预。统计对比两组护理前后大便失禁生活质量问卷(FIQL)、术后并发症发生率。结果干预后,两组FIQL评分高于干预前,且研究组高于常规组(P<0.05);两组术后并发症发生率比较,研究组7.50%(3/40)低于常规组25.00%(10/40,P<0.05)。结论路径化护理干预运用于高位复杂肛瘘患者外切内挂胶管引流术围手术期中,能改善生活质量,降低术后并发症发生率。

Objective To observe the effect of path-based nursing intervention in the perioperative period of high complex anal fistula patients with external incision and internal hose drainage.Methods 80 patients with high complex anal fistula in our hospital from June 2018~June 2019 were all treated with external resection and internal glue tube drainage.according to the admission time,they were divided into routine group(40 cases)and study group(40 cases).Routine nursing intervention was given in routine group,and pathway nursing intervention was given in study group based on routine nursing.Comparison of quality of life questionnaire(FIQL)and incidence of postoperative complications between two groups before and after nursing.Results After intervention,the FIQL score of the two groups was higher than that before intervention,and the study group was higher than that of the conventional group(P<0.05).compared with the two groups,the incidence of postoperative complications in the study group was 7.50%(3/40)lower than that in the conventional group(25.00%)(10/40,P<0.05).Conclusion Pathway nursing intervention can improve the quality of life and reduce the incidence of postoperative complications in patients with high complex anal fistula.