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| Application effect of comfort nursing in perianal nursing after anorectal surgery |
| HOU Miao SHAN Shu-zhen |
| Department of Anorectal,Xinhua Hospital Affiliated to Dalian University,Liaoning Province,Dalian 116021,China |
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Abstract Objective To explore the application effect of comfort nursing in perianal nursing after anorectal surgery.Methods The clinical data of 118 patients undergoing anorectal surgeries treated in our hospital from January 2018 to June 2019 were retrospectively analyzed.They were divided into the control group and the study group according to different nursing models,59 cases in each group.In the control group was adopted conventional nursing,and in the study group comfort nursing was used.The pain degrees at different time points,sleep quality before and after nursing,and changes in mental state 48 h after surgery were compared. Results The pain scores of patients in the study group at 4,12,24,and 48 h after surgery were lower than those in the control group (P＜0.05).The pain scores at 12,24,and 48 h after surgery in the two groups were all lower than 4 hours after surgery (P＜0.05).Meanwhile,the Pitsburgh sleep quality index questionnaire (PSQI) and 90 item self-rating scale for mental symptoms (SCL-90) score of the study group after nursing were also lower compared with that in the control group ((P＜0.05)).The PSQI and SCL-90 score in the two groups after nursing were lower than those before nursing (P＜0.05).Conclusion Comfort nursing has obvious advantages in perianal care after anorectal surgery.It can effectively relieve pain,and improve postoperative psychological status and sleep quality.
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| [1] |
张志娟.预见性护理对肛肠外科护理质量、患者护理满意度及患者负性情绪的影响[J].结直肠肛门外科，2018，24（S1）：176-178.
|
| [2] |
罗芳.中药熏洗结合综合护理在肛周脓肿术后疼痛的疗效观察[J].长春中医药大学学报，2018，34（6）：1184-1186.
|
| [3] |
白海霞.FTS-CIS 模式在miRNA 结直肠癌患者术后护理中的应用效果[J].现代中西医结合杂志，2017，26（36）：4095-4097.
|
| [4] |
谈军，陈倚，刘晨.中药灌肠结合负压封闭引流术治疗肛周深部脓肿临床研究[J].国际中医中药杂志，2019，41（6）：589-591.
|
| [5] |
殷艳，李艳，查晓芳，等.早期康复护理对结直肠癌术后患者胃乏力和生活质量的影响[J].中国当代医药，2019，26（20）：230-232.
|
| [6] |
王猛，王贵玉.2016年版美国结直肠外科医师学会《肛周脓肿、肛瘘和直肠阴道瘘治疗指南》解读[J].中国实用外科杂志，2017，37（2）：71-74.
|
| [7] |
朱丹，余江.肛周脓肿患者的健康教育与术后换药疼痛的心理护理分析[J].结直肠肛门外科，2018，24（S2）：217-218.
|
| [8] |
李树杰，龚自启，许彩腾，等.加速康复外科在腹腔镜结直肠癌手术中的应用效果[J].中国当代医药，2019，26（14）：76-79.
|
| [9] |
宗殿亮，何洪芹，王文进，等.高位虚挂线引流与减压引流法在高位肛周脓肿切除术中的应用效果比较[J].结直肠肛门外科，2019，25（2）：90-93，103.
|
| [10] |
沙静涛，赵伟.Ⅰ期肛周脓肿根治术配合中药消肿促愈汤熏洗治疗肛周脓肿268 例[J].中国妇幼健康研究，2017，28（S1）：164.
|
| [11] |
杨杰斌.改良括约肌间瘘管结扎术对高位单纯性肛瘘患者术后疼痛模拟评分及肛门失禁严重度指数评分的影响[J].中国药物与临床，2019，19（6）：941-943.
|
| [12] |
刘梅珍，焦振素.周脓肿术后创面中应用负压引流个性化护理干预效果[J].河北医药，2017，39（22）：3518-3520.
|
| [13] |
张姗姗，陈红梅，鲍宏玮，等.快速康复外科理念联合舒适护理模式在老年股骨颈骨折治疗中的应用[J].海军医学杂志，2019，40（2）：136-139.
|
| [14] |
吕秋霞，张崇，孙超俊.临床护理路径对慢性肛裂患者术后康复以及护理工作满意度的影响[J].中国地方病防治杂志，2018，33（5）：90.
|
| [15] |
梁耀斌，朱俊红，时晓亚.手术室舒适护理对肋间神经阻滞联合自控镇痛患者术后镇痛效果及满意度的影响[J].中华全科医学，2018，16（9）：1575-1578.
|
| [16] |
成明，陈燕，粟小燕.护理干预对先天性巨结肠术后肛门吻合口感染及肛周皮炎的影响[J].结直肠肛门外科，2018，24（S1）：93-95.
|
|
|
|
