蓄力护理对Ⅱ~Ⅳ期混合痔内痔套扎术患者的影响分析

Analysis of the Effect of Accumulating Force Nursing on Patients with Mixed Hemorrhoids and Internal Hemorrhoids Band Ligation in StageⅡ-Ⅳ

目的:观察蓄力护理对Ⅱ~Ⅳ期混合痔内痔套扎术患者的影响效果。方法:选取2019年1—12月新余钢铁集团有限公司中心医院收治的80例行内痔套扎术的Ⅱ~Ⅳ期混合痔患者作为研究对象,收治于偶数病室的40例混合痔手术病例设为对照组,收治于奇数病室的40例混合痔手术病例设为试验组。对照组采用常规护理,试验组采用蓄力护理干预。比较两组患者干预后症状评分、并发症发生率。结果:两组患者干预后症状评分比较,试验组疼痛、出血、肛缘水肿及排尿障碍等维度评分分别为(1.33±0.80)分、(1.05±0.64)分、(1.28±0.85)分、(1.15±0.74)分,显著低于对照组的(2.15±0.53)分、(2.30±0.52)分、(2.20±0.61)分、(2.35±0.53)分,差异有统计学意义(t=-5.440、-9.627、-5.612、-8.352,P<0.05)。两组患者干预后并发症发生率比较,试验组并发症发生率为7.50%,显著低于对照组的25.00%,差异有统计学意义(χ^(2)=4.501,P<0.05)。结论:采用蓄力护理对Ⅱ~Ⅳ期混合痔内痔套扎术患者施加干预,可显著改善其症状困扰,降低并发症发生率。

Objective:To observe the effect of accumulating force nursing on patients with mixed hemorrhoids of stageⅡ-Ⅳand internal hemorrhoids band ligation.Methods:A total of 80 patients with mixed hemorrhoids in stagesⅡtoⅣwho underwent internal hemorrhoid ligation in the hospital from January to December 2019 were selected as the research subjects.The 40 cases of mixed hemorrhoid surgery admitted in the even-numbered wards were set as the control group,and the 40 cases of mixed hemorrhoids surgery admitted in the odd-numbered wards were set as the experimental group.The control group was given routine nursing,and the experimental group was given energy storage nursing intervention.The symptom scores and the total incidence of complications after intervention were compared between the two groups.Results:The scores of pain,bleeding,anal edema and urination disturbance in the experimental group were(1.33±0.80)points,(1.05±0.64)points,(1.28±0.85)points and(1.15±0.74)points,lower than(2.15±0.53)points,(2.30±0.52)points,(2.20±0.61)points and(2.35±0.53)points in the control group,the differences were statistically significant(t=-5.440,-9.627,-5.612,-8.352,P<0.05).The incidence of complications in the experimental group was 7.50%,which was significantly lower than 25.00%in the control group,and the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusion:The use of accumulating nursing intervention in patients with mixed hemorrhoids of stageⅡ-Ⅳand internal hemorrhoid ligation can significantly improve their symptoms and reduce the incidence of complications.