综合护理模式对肛瘘术后患者疼痛及尿潴留的影响

The Influence of Comprehensive Nursing Mode on the Pain and Urinary Retention of the Patients after the Surgery of Anal Fistula

目的:观察综合护理模式对肛瘘术后患者自我护理能力、术后疼痛评分及术后恢复情况的影响,并调查护理满意度,探讨在肛瘘患者术后应用综合护理模式的临床价值。方法:将120例患者随机分为对照组和观察组各60例,对照组予以常规护理,观察组予以综合护理措施,观察2组患者术后自理能力、术后疼痛评分、术后各症状恢复情况及护理满意度。结果:自我护理技能、自我概念、自我责任感、健康知识水平及自我护理能力总分观察组均高于对照组,差异有统计学意义(P<0.05)。疼痛得分术后6小时2组比较,差异无统计学意义(P>0.05),术后12、24、48及72小时观察组均低于对照组(P<0.05)。尿路刺激征、尿潴留、导尿、排便异常发生率观察组低于对照组,2组比较差异有统计学意义(P<0.05)。护理总满意率观察组为90.00%,对照组为80.00%,2组比较差异有统计学意义(P<0.05)。结论:肛瘘患者术后应用综合护理模式可明显提高自护能力,减轻术后疼痛,促进术后排尿功能的恢复,提高护理满意度。

Objective： To explore clinical value of comprehensive nursing mode applied to the patients after the operation of anal fistula by observing the influence of comprehensive nursing mode on self-care ability, postoperative pain scales and postoperative recovery of the patients after the operation of anal fistula, and investigating nursing satisfaction degrees. Methods： All 120 patients were randomized into the control group and the observation group, 60 cases each group, the control group adopted routine care, and the observation group comprehensive nursing measures, nursing satisfaction degrees, the rehabilitation of different symptoms after the operation, postoperative pain scales and postoperative self-care ability of both groups were observed after the groups accepted comprehensive nursing measures. Results： The observation group was higher than the control group in total scales of self-care skills, self-concept, self-responsibility sense, healthy knowledge level and self nursing ability, and the difference had statistical meaning （/9〈0.05）. The difference had no statistical meaning in the comparisons of pain scales in six hours after the operation between both groups （P〉0.05）, the observation group was lower than the control group in 12, 24, 48 and 72 hours after the operation （P〈0.05）. The observation group was lower than the control group in the incidences of urinary irritation, urinary retention, catheterization, abnormal defecation, and the difference showed statistical meaning （P〈0.05）. Total satisfaction rate of nursing in the observation group was 96.67%, higher than 90.00% of the control group, and the difference demonstrated statistical meaning （P〈0.05）. Conclusion： Comprehensive nursing mode applied to the patients after the surgery of anal fistula could obviously raise self care ability, alleviate postoperative pain, promote the recovery of urination functions after the surgery and improve nursing satisfaction degrees.