PDCA循环式护理应用于肛瘘手术后患者的临床疗效分析

Clinical efficacy analysis of PDCA-based circular nursing in postoperative anal fistula patients and its influence on postoperative anal pain

目的分析PDCA循环式护理应用于肛瘘手术后患者的临床疗效及对术后肛门疼痛的影响。方法选取2016年3月至2017年12月在安徽省六安市中医院行肛瘘手术的86例患者作为研究对象。应用双色球法随机分为研究组和对照组,各43例。对照组患者术后采用常规护理模式进行干预,研究组患者术后采用PDCA循环式护理模式进行干预。比较分析两组患者护理后的临床疗效,术后自我护理能力,术后肛门疼痛程度及护理满意度。结果研究组患者护理后的临床治疗有效率达97.67%,高于对照组的72.09%,差异有显著性(P<0.05)。研究组患者护理后的自我责任感、自我护理技能、健康知识水平、自我概念评分高于对照组,差异有显著性(P<0.05),两组患者术后6h视觉模拟量表评分差异无显著性(P>0.05)。而术后12、24、72h视觉模拟量表评分研究组明显低于对照组,差异有显著性(P<0.05)。研究组患者护理后的总满意率达97.67%,高于对照组的65.12%,差异有显著性(P<0.05)。结论肛瘘患者术后应用PDCA循环式护理进行干预临床效果好,可明显改善患者术后自我护理能力、术后肛门疼痛程度,提高患者满意度,值得在临床上推广。

Objective To analyze the clinical effect of PDCA circulation nursing on anal fistula postoperative patients and its influence on postoperative anal pain. Method From March 2016 to December 2017, 86 patients with anal fistula in our hospital were selected as the research objects. They were randomly divided into the study group and the control group, 43 cases in each group. Patients in the control group received routine nursing intervention after operation, while patients in the study group received PDCA circular nursing intervention after operation. The clinical efficacy, postoperative self-care ability, postoperative anal pain and nursing satisfaction of the two groups were compared and analyzed. Result The effective rate of clinical treatment in the study group was 97.67%, which was much higher than that in the control group(72.09%). The difference was statistically significant(P<0.05). The scores of self-responsibility, self-care skills, health knowledge and self-concept in the study group were significantly higher than those in the control group(P<0.05). There was no significant difference in VAS scores between the two groups at 6 hours after operation(P>0.05). The VAS scores of 12 h, 24 h and 72 h after operation were significantly lower than those of the control group(P<0.05). The total satisfaction rate of the study group was 97.67%, which was much higher than 65.12% of the control group(P<0.05). Conclusion The application of PDCA cycle nursing in patients with anal fistula after operation is very effective, significantly improving the ability of postoperative self-care, postoperative anal pain, improve patient satisfaction, it is worth widely promoting in clinical practice.