基于快速康复外科理念的中西医结合护理对高位复杂性肛瘘手术患者创面愈合的影响

Impact of Integrated Traditional Chinese and Western Medicine Nursing Based on the Concept of Fast Track Surgery on Wound Healing in Patients Undergoing High Complexity Anal Fistula Surgery

目的探讨基于快速康复外科(FTS)理念的中西医结合护理对高位复杂性肛瘘手术患者创面愈合的影响。方法选取本院2022年5月—2023年5月收治的86例高位复杂性肛瘘手术患者为研究对象,按随机数字表法将其分为对照组和观察组,各43例。对照组实施常规护理干预,观察组实施基于FTS理念的中西医结合护理干预。比较两组的疼痛程度、舒适度、住院时间、创面愈合时间、生活质量及护理满意度。结果术后第1、3、5天,观察组疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05)。观察组Kolcaba舒适状况量表评分高于对照组,住院时间和创面愈合时间均短于对照组,组间差异有统计学意义(P<0.05)。术后3个月,观察组克利夫兰总体生活质量量表各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论对于高位复杂性肛瘘手术患者而言,基于FTS理念的中西医结合护理不仅可以有效减轻其疼痛程度,提高舒适度,还可以缩短住院时间和创面愈合时间,提升其生活质量与护理满意度。

Objective Exploring the impact of integrated traditional Chinese and Western medicine nursing based on the concept of fast track surgery(FTS)on wound healing in patients undergoing high complexity anal fistula surgery.Methods Eighty-six patients with high complexity anal fistula surgery admitted to our hospital from May 2022 to May 2023 were selected as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 43 cases in each group.The control group received routine nursing interventions,while the observation group received integrated traditional Chinese and Western medicine nursing interventions based on the FTS concept.Compare the pain level,comfort level,length of hospital stay,wound healing time,quality of life,and nursing satisfaction between two groups.Results On postoperative days 1,3,and 5,the Visual Analogue Scale scores for pain in the observation group were lower than those in the control group,the differences between groups were statistically significant(P<0.05).The Kolcaba General Comfort Questionnaire score of the observation group was higher than that of the control group,and the hospitalization time and wound healing time were shorter than those of the control group,the differences between groups were statistically significant(P<0.05).Three months after surgery,the Cleveland Global Quality of Life scores in all dimensions of the observation group were higher than those of the control group,the differences between groups were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion For patients undergoing high complexity anal fistula surgery,the combination of traditional Chinese and Western medicine nursing based on the FTS concept can not only effectively reduce their pain level and improve comfort,but also shorten hospitalization time and wound healing time,improve their quality of life and nursing satisfaction.