摘要
目的:探讨强化自能护理适宜中医按压手法对肛瘘术后患者泌尿系并发症发生及便秘预防的影响。方法:选取168例在医院行肛瘘切除手术的肛萎患者,依据围术期护理方式的不同,将采用常规护理的患者纳入对照组(91例),采用强化自能护理适宜中医按压手法的患者纳入观察组(77例),观察对比两组患者术后恢复情况、干预前后自护能力量表(ESCA)评分、泌尿系并发症发生情况及便秘预防情况。结果:观察组患者住院时间、创口愈合时间、红肿消失时间、脓液消失时间以及便血消失时间明显少于对照组,差异有统计学意义(t=6.902,t=13.614,t=14.188,t=9.277,t=5.319;P<0.05);干预后两组患者自我概念、自我护理技能、自护责任感及健康知识水平的ESCA评分明显升高,其观察组明显高于对照组,差异有统计学意义(t=3.354,t=7.807,t=3.771,t=7.353;P<0.05);观察组泌尿系并发症发生率明显低于对照组,便秘预防总有效率明显高于对照组,差异有统计学意义(χ^(2)=5.640,χ^(2)=4.895;P<0.05)。结论:肛瘘患者肛瘘切除术围术期采用强化自能护理结合适宜中医按压手法干预能够有效促进患者术后创口恢复,加快红肿、脓液及便血消失,减少术后泌尿系并发症的发生,提高便秘预防效果,促进患者排便,具有良好的临床应用价值。
Objective:To explore the influences of suitable traditional Chinese medicine(TCM)compression method combined with intensive self-care on the occurrence of the complications of urinary system and the prevention of constipation in patients after anal fistula surgery.Methods:168 patients with anal fistula who underwent the resection of anal fistula in hospital were selected.According to the different perioperative nursing methods,91 patients who adopted routine nursing were divided into control group and 77 patients who adopted suitable TCM compression method combined with intensive self-care were divided into observation group.The postoperative recovery,the scores of exercise of self-care agency scale(ESCA)before and after intervention,the occurrence of the complications of urinary system and the prevention of constipation between two groups were observed and compared.Results:The length of stay,wound healing time,disappearance time of red and swollen,disappearance time of hematochezia in observation group were significantly shorter than those in control group(t=6.902,t=13.614,t=14.188,t=9.277,t=5.319,P<0.05).After the intervention,the ESCA scores of self-concept,self-care skills,self-care responsibility and the level of health knowledge were significantly increased in both two groups,and those of observation group were significantly higher than them of control group(t=3.354,t=7.807,t=3.771,t=7.353,P<0.05).The incidence of the complications of urinary system in observation group was significantly lower than that in control group,and the total effective rate of preventing constipation of observation group was significantly higher than that of control group,the differences of them were statistically significant(χ^(2)=5.640,χ^(2)=4.895,P<0.05).Conclusion:In the perioperative treatment of patients with anal fistula who undergo resection of anal fistula,the intervention of suitable TCM compression method combined with intensive selfcare can effectively promote the postoperative wound recovery of patients,and accelerate the disappearance of red and swollen,pus and hematochezia,and reduce the occurrence of postoperative complications of urinary system,and improve the preventive effect of constipation,and promote defecation of patients,and it has favorable clinical application value.
作者
靳红
王令花
辛学知
JIN Hong;WANG Ling-hua;XIN Xue-zhi(Proctology Department,The First Affiliated Hospital of Shandong First Medical University(Shandong Province Qianfushan Hospital),Jinan 250014,China)
出处
《中国医学装备》
2021年第12期89-92,共4页
China Medical Equipment
基金
山东省中医药科技发展计划(2015-289)“复方肛瘘膏治疗低位肛瘘的临床研究”
山东省卫生健康委员会中医传承项目(201907069)“山东辛氏肛肠中医药特色技术”。
关键词
强化自能护理
肛瘘
泌尿系并发症
便秘
肛瘘切除术
Intensive self-care
Anal fistula
Complications of urinary system
Constipation
Resection of anal fistula
