基于养生理论指导下的中医辨证施护在肛周脓肿患者术后恢复中的应用

Application of TCM syndrome differentiation nursing based on the guidance of health preservation theory in postoperative recovery of patients with perianal abscess

目的分析基于养生理论指导下的中医辨证施护对肛周脓肿患者术后恢复中的应用。方法选取2020年1月至2022年1月于山东第一医科大学第一附属医院进行肛周脓肿治疗的患者87例, 依照护理措施不同将患者分为对照组43例与观察组44例, 其中对照组进行常规护理方式, 观察组在对照组常规护理基础上进行基于养生理论指导下的中医辨证施护。比较术后两组创口渗出液情况及术前术后两组中医生命质量评价量表(Chinese Medicine Quality of Life-11 Dimensions, CQ-11D)、疼痛评分(Visual Analogue Scale, VAS)肛门功能Kelly评分情况。结果两组术后3 d、7 d、11 d创口渗出液分值依次下降, 且观察组相较于对照组更低, 差异均有统计学意义(均P<0.05);两组术后CQ-11D评分均上升, 且观察组显著高于对照组, 差异均有统计学意义(P<0.05);两组术后15 d、30 d患者VAS评分均下降, 且观察组显著低于对照组, 差异均有统计学意义(均P<0.05);对照组与观察组术后15 d、30 d Kelly评分均上升, 且观察组显著高于对照组, 差异均有统计学意义(均P<0.05)。结论与常规护理相比, 基于养生理论指导下的中医辨证施护更能有效地减少患者疼痛情况, 保障患者肛门功能, 降低患者术后渗液情况出现, 大幅度提高患者的生活质量。

Objective:To analyze the application of traditional Chinese medicine syndrome differentiation nursing in postoperative recovery of patients with perianal abscess based on the theory of health preservation theory.Methods:A total of 87 patients with perianal abscess treated in the First Affiliated Hospital of Shandong First Medical University from January 2020 to January 2022 were selected.According to different nursing measures,the patients were divided into the control group(43 cases)and the observation group(44 cases).The control group received routine nursing,while the observation group received TCM syndrome differentiation nursing under the guidance of health preservation theory on the basis of routine nursing in the control group.The postoperative wound exudate,the Chinese Medicine Quality of Life-11 Dimensions(CQ-11D),Visual Analogue Scale(VAS)and anal function Kelly score were compared between the two groups before and after operation.Results:The wound exudate scores of the two groups decreased in turn 3 days,7 days and 11 days after operation,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The CQ-11D scores of the two groups increased after operation,and the observation group was significantly higher than that of the control group,and the differences were statistically significant(P<0.05).The VAS scores of the two groups decreased 15 days and 30 days after operation,and the scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).The Kelly scores of the control group and the observation group increased 15 days and 30 days after operation,and the observation group was significantly higher than the control group,and the differences were statistically significant(P<0.05).Conclusions:Compared with routine nursing,TCM syndrome differentiation nursing based on the guidance of health theory can more effectively reduce the pain of patients ensure the anal function of patients,reduce the occurrence of postoperative exudation of patients,and greatly improve the quality of life of patients.