中医护理路径对肛肠手术患者临床效果及舒适度的影响评价

Evaluation of the effect of traditional Chinese medicine nursing pathway on the clinical effect and comfort of anorectal surgery patients

目的评价中医护理路径对肛肠手术患者临床效果及舒适度的影响。方法 80例肛肠手术患者,采用抽签方法分为常规组与实验组,每组40例。常规组患者实施常规护理模式,实验组患者在常规护理基础上加用中医护理路径干预。将两组患者的心理状态[焦虑自评量(SAS)评分、抑郁自评量表(SDS)评分]、视觉模拟评分法(VAS)评分、舒适度评分情况进行对比,并观察两组患者排便困难积分。结果实验组患者的SAS评分、SDS评分以及VAS评分均低于常规组,舒适度评分高于常规组,差异有统计学意义(P<0.05)。实验组患者大便干结积分(0.64±0.11)分、紧迫感积分(0.54±0.12)分、排便不尽积分(0.53±0.20)分均低于常规组的(1.82±0.20)、(1.52±0.21)、(1.35±0.11)分,差异有统计学意义(P<0.05)。结论将中医护理路径应用于肛肠手术患者的临床护理中,效果显著,具有广泛推广应用的价值。

Objective To evaluate the effect of traditional Chinese medicine nursing pathway on the clinical effect and comfort of anorectal surgery patients. Methods A total of 80 anorectal surgery patients were divided by drawing method into conventional group and experimental group, with 40 cases in each group. The conventional group received conventional nursing mode, and the experimental group received traditional Chinese medicine nursing pathway on the basis of conventional nursing. The psychological state [self-rating anxiety scale（SAS） score, self-rating depression scale（SDS） score], visual analogue scale（VAS） score and comfort score were compared, and to observe efecation difficulty integral in two groups was observed. Results The experimental group had lower SAS, SDS and VAS score than the conventional group, and higher comfort score than the conventional group. Their difference was statistically significant（P〈0.05）. The experimental group had dry stool integral as（0.64±0.11） points, urgency integral as（0.54±0.12） points, and infrequent defecation integral as（0.53±0.20） points, which were all lower than（1.82±0.20）,（1.52±0.21） and（1.35±0.11） points in conventional group. Their difference was statistically significant（P〈0.05）. Conclusion Application of traditional Chinese medicine nursing pathway shows remarkable effect in clinical nursing of anorectal surgery patients, and it contains wide promotion and application value.