集束化护理干预在内痔套扎术治疗Ⅱ~Ⅳ期混合痔患者中的应用效果

Application effect of cluster nursing intervention in the treatment ofⅡ-Ⅳstage mixed hemorrhoids patients with internal hemorrhoids ligation

目的探讨集束化的护理干预在内痔套扎术治疗Ⅱ~Ⅳ期混合痔患者中的应用效果。方法选取2018年3月~2019年3月我院收治的82例Ⅱ~Ⅳ期混合痔患者,均行内痔套扎术治疗,采用红蓝双色球法将其分成观察组和对照组,每组各41例。对照组实施常规护理,观察组在对照组的基础上实施集束化的护理干预,比较两组的术后疼痛情况,评估护理前后的生活质量,并观察并发症发生情况。结果观察组术后6 h的疼痛评分为(3.54±0.52)分与对照组的(3.61±0.55)分比较,差异无统计学意义(P>0.05);观察组术后12 h的疼痛评分为(2.68±0.51)分,术后24 h的疼痛评分为(1.84±0.41)分,术后48 h的疼痛评分为(1.09±0.27)分,均低于对照组的(3.23±0.48)、(2.38±0.49)、(1.52±0.31)分,差异均有统计学意义(P<0.05)。护理前观察组的生活质量评分为(62.31±7.92)分,与对照组的(62.58±7.16)分比较,差异无统计学意义(P>0.05)。护理后观察组的生活质量评分为(76.53±8.39)分,高于对照组的(69.62±7.47)分,差异有统计学意义(P<0.05);观察组的并发症总发生率(7.32%)低于对照组(24.39%),差异有统计学意义(P<0.05)。结论在内痔套扎术治疗Ⅱ~Ⅳ期混合痔患者中,应用集束化护理干预的效果确切。

Objective To explore the application effect of cluster nursing intervention in the treatment ofⅡ-Ⅳstage mixed hemorrhoids patients with internal hemorrhoids ligation.Methods A total of 82 patients with stageⅡ-Ⅳmixed hemorrhoids in our hospital were treated with internal hemorrhoids ligation.The patients were divided into two groups by red blue double color ball method,41 cases in each group.The patients in the control group were given routine nursing.The observation group was given cluster nursing intervention on the basis of the control group.The postoperative pain of the patients in the two groups was compared,and the quality of life before and after nursing was evaluated.The complications were observed.Results There was no significant difference between the pain score postoperative 6 h was(3.54±0.52)points of the observation group and the control group of(3.61±0.55)points(P>0.05);the pain score postoperative 12 h was(2.68±0.51)points,the pain score postoperative 24 h was(1.84±0.41)points and the pain score postoperative 48 h was(1.09±.27)points of the observation group were lower than those of the control group in the above period of(3.23±0.48),(2.38±0.49),(1.52±0.31)points,the differences were statistically significant(P<0.05).There was no significant difference in the quality of life score of the observation group before nursing of(62.31±7.92)points compared with that of the control group of(62.58±7.16)points(P>0.05);the quality of life score of the observation group after nursing was(76.53±8.39)points,was higher than that of the control group of(69.62±7.47)points,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group(7.32%)was lower than that of the control group(24.39%),the difference was statistically significant(P<0.05).Conclusion The effect of cluster nursing intervention in the treatment ofⅡ-Ⅳstage mixed hemorrhoids patients with internal hemorrhoids ligation is definite.