综合护理对直肠黏膜脱垂术后患者的干预效果

Intervention effect of comprehensive nursing on postoperative patients with rectal mucosa prolapse

目的观察综合护理对直肠黏膜脱垂术后患者的干预效果。方法选择2018年1月至2019年12月于本院肛肠科行吻合器痔上黏膜环切术(PPH)的60例直肠黏膜脱垂患者作为研究对象,将其随机分为对照组与试验组,各30例。对照组采取常规护理,试验组在常规护理基础上采取综合护理。比较两组患者术前及术后第3天的肛管测压情况、焦虑、抑郁、肛门坠胀感评分及护理满意度。结果两组术后第3天的肛管舒张压、收缩压及静息压均显著低于术前(P<0.05),但组间无显著差异(P>0.05)。术后第3天,两组患者的焦虑、抑郁及肛门坠胀感评分均较术前显著降低,且试验组低于对照组(P<0.05)。试验组的护理满意度高于对照组(P<0.05)。结论综合护理应用于直肠黏膜脱垂术后患者中,可显著缓解患者的焦虑、抑郁情况,减轻肛门坠胀感,提升护理满意度。

Objective To observe the intervention effect of comprehensive nursing on patients with rectal mucosa prolapse.Methods Sixty patients with rectal mucosal prolapse who underwent procedure for prolapse and hemorrhoids(PPH)in anorectal department of our hospital from January 2018 to December 2019 were selected as the research objects and randomly divided into control group and experimental group,with 30 cases in each group.The control group was given routine nursing,and the experimental group was given comprehensive nursing on the basis of routine nursing.The anal manometry,anxiety,depression,anal distension sense scores before operation and 3rd day after operation and nursing satisfaction of the two groups were compared.Results The anal diastolic pressure,systolic pressure and resting pressure of the two groups on the third day after operation were significantly lower than those before operation(P<0.05),but there were no significant differences between the two groups(P>0.05).On the 3rd day after operation,the scores of anxiety,depression and anal distension sense in the two groups were significantly lower than those before operation,and those in the experimental group were lower than the control group(P<0.05).The nursing satisfaction of the experimental group was higher than that of the control group(P<0.05).Conclusion Comprehensive nursing applied in patients with rectal mucosa prolapse can significantly relieve the anxiety and depression of patients,reduce anal distention sense,and improve nursing satisfaction.