综合护理在直肠黏膜内脱垂吻合器痔上黏膜环切术后的应用效果

Application effect of comprehensive nursing in the rectal mucosal prolapse stapler hemorrhoids after mucosal ring resection

目的研究综合护理在缓解直肠黏膜内脱垂吻合器痔上黏膜环切术(PPH)术后患者肛门坠胀程度及焦虑症状中的作用。方法选取2015年6月~2017年12月本院肛肠科收治的98例行直肠黏膜内脱垂PPH术患者作为研究对象,将其随机分为实验组和对照组,每组各49例。对照组患者采用常规护理,实验组在对照组的基础上给予综合护理。比较两组患者干预前及术后第1、3、5天的肛门坠胀程度评分、干预前及术后第5天的焦虑及抑郁评分、总满意度。结果两组患者干预前的肛门坠胀程度评分及焦虑、抑郁评分比较,差异无统计学意义(P>0.05),而两组患者术后第1、3、5天的肛门坠胀程度评分及术后第5天的焦虑及抑郁评分均低于干预前,且实验组低于对照组,差异有统计学意义(P<0.05);实验组患者的总满意度(95.92%)明显高于对照组(75.51%),差异有统计学意义(P<0.05)。结论综合护理可以减少PPH术后直肠黏膜脱垂患者的肛门坠胀程度,并进行心理调适,减少焦虑和抑郁,有助于提高护理的疗效,可在临床上推广应用。

Objective To study the effect of comprehensive nursing on relieving the degree of sense of anal falling and swelling as well as anxious symptomsafter theprocedure for prolapse and hemorrhoids(PPH) in treatment ofinternal rectal prolapse(IRP). Methods Altogether 98 patients with IRP who underwent PPH in Department of Anorectal of our hospital from June 2015 to December 2017 were selected as study subjects and randomly divided into experiment group and control group, with 49 cases in each group. The control group received routine nursing, while the experiment group was given comprehensive nursing on the basis of the control group. The degree of anal falling and swelling before intervention and the first, third and fifth days after surgery was compared between the two groups, the anxiety and depression scores before intervention and 5 days after surgery, and the total satisfaction were compared between the two groups. Results There was no statistically significant difference in the degree of anal falling and swelling and the anxiety and depression scores between the two groups before intervention(P>0.05). The degree of anal falling and swelling and anxiety and depression on the the first, third and fifth days after surgery were lower than those before the intervention, and the indexes in the experiment group were lower than the control group, with statistically significant difference(P<0.05). The patients′ satisfaction degree of experiment group(95.92%) was significantly higher than that of control group(75.51%), with statistically significant difference(P<0.05). Conclusion Comprehensive nursing can reduce the degree of anal falling and swelling in patients with IRP after PPH, make psychological adjustment, reduce anxiety and depression, and help to improve the curative effect of nursing, which can be popularized and appliedclinically.