全程优质护理在开环式微创痔吻合术治疗混合痔围手术期的效果

Effect of whole course high quality nursing in the treatment of mixed hemorrhoids in the treatment of mixed hemorrhoids

目的探讨全程优质护理在开环式微创痔吻合术（TST）治疗混合痔围手术期的价值。方法将106例行TST患者按照数字表法随机分为两组，各53例；对照组实施一般常规基础护理，观察组对患者采取全程优质护理，对比两组的护理情况与满意度。结果两组总有效率均为100．00％，差异无统计学意义（χ^2=0．3430，P〉0．05）；两组术后第1天疼痛积分比较，t=0．635，P〉0．05，第3、5天观察组均明最低于对照组（t=5．017、3．089，P〈0．05）；观察组疼痛时间明显低于对照组（t=11．556，P〈0．05），观察组满意度为98．11％，显著高于对照组的86．79％（χ^2=4．8673，P〈0．05）；观察组术后并发症为11．32％，明显低于对照组的39．62％（χ^2=11．1814，P〈0．05）。结论全程优质护理在行TST术中具有患者疼痛轻、愈合快及住院时间短等优点，提高患者围手术期的配合，减少了术后并发症，提高生活质量，已成为治疗混合痔、内痔的理想方法，并提高护理工作效率，也增加患者护理满意度。

Objective To explore the whole quality of nursing in open-loop decay and anastomosis （TST） in the treatment of mixed hemorrhoids hemorrhoids perioperative value of research. Methods In 106 patients who underwent TST digital table method were randomly divided into two groups, 53 cases, control the implementation of general nursing on a regular basis; Observation group of patients to take the whole quality of nursing, nursing situation and satisfaction compared to two groups. Results Observation group total effective rate was 100.00% and 100.00% in the control group no difference （χ^2= 0.3430, P 〈 0.05）, two groups of postoperative pain score 1 d （t = 0.635, P 〉 0.635）; 3 and 5 d group were significantly lower than the control group （t = 5.017, t = 3.089, P 〈 0.05）, the pain of time observing group was significantly lower than that of control group （t = 11.556, P〈 0.05）, the observation group satisfaction 98.11% and significantly higher than the control group 86.79% （χ^2= 4.8673, P 〈 0.05）, postoperative complications 11.32% observation group was obviously lower than the control group 11.32% （χ^2= 11.1814, P 〈 0.05）. Conclusion The whole nursing quality in TST intraoperative has the patient pain is light, the advantages of fast healing and shorter hospitalization time, improve patients perioperative coordination, reduce the postoperative complications, improve the quality of life, has become the ideal method of treatment of mixed hemorrhoids, hemorrhoids, and improve the efficiency of nursing work, increases patient care satisfaction.