优质护理对肛瘘患者术后疼痛和护理满意度的影响

Efficacy of high quality nursing on postoperative pain and care satisfaction of patients with anal fistula

目的探讨优质护理对肛瘘患者术后疼痛和护理满意度的影响。方法将46例肛瘘患者随机分为对照组和实验组，对照组22例，实验组24例。对照组行肛瘘患者常规护理。实验组在肛瘘常规护理基础上采取优质护理，让护士分管患者，对患者进行责任制整体护理，责任护士对患者实施心理干预、环境干预、合理止痛等全方位护理服务。术后采用视觉模拟评分法（VAS）进行疼痛评分，分别于术后6h、术后第1～3天连续评分4次，对两组患者进行疼痛评估，比较两组术后疼痛程度并在患者出院前进行护理满意度调查。结果两组患者术后6h疼痛程度比较差异无统计学意义（P〉0．05），经优质护理服务的实验组术后1～3d疼痛程度显著低于对照组（P〈0．05）。结论对肛瘘患者实施优质护理能明显减轻患者术后疼痛，提高患者对护理工作的满意度。

Objective To investigate the efficacy of high quality nursing towards on postopera- tive pain and nursing satisfaction of patients with anal fistula patents. Methods Forty-six cases of anal fistula were randomly divided into control group and experiment group, with 22 cases in control group and 24 cases in experimental group. The patients in control group were given anal fistula routine nursing while the patients in experimental group were given high-quality care additionally and nurses who are in charge of them. The patients obtained responsibility system for overall care from his responsible nurse with psy- chological interventions, environmental interventions, reasonable methods to stop the pain, etc. Visual Analogue Scale/Score （VAS） were graded at 6 h after the operation and 4 times in the following 3 days. The patients in the two groups were given pain assessment in order to compare the degree of pain and con- duct survey of nursing satisfaction degree before discharge. Results There was no significant difference in the pain degree at 6 h after the operation （ P 〉 0. 05 ）. The pain degree of experimental group were sig- nificantly lower than that in the control group （ P 〈 0.05 ） in the following 1 - 3 days after operation. Conclusions The implementation of high-quality care in patients with anal fistula can significantly reduce postoperative pain and improve patients＇ satisfaction degree with care work.