摘要
目的:分析临床路径化护理干预在肛周脓肿患者围手术期的应用效果,为临床护理干预方式选择提供参考。方法:选取2021年1—12月丰城市人民医院收治的82例肛周脓肿患者作为研究对象,根据患者围手术期护理方式不同分为对照组(实施常规护理)37例与观察组(实施临床路径化护理干预)45例。比较两组患者临床指标、疼痛情况[视觉模拟评分法(VAS)评分]、舒适度[Kolcaba的舒适状况量表(GCQ)评分]、便秘及排尿障碍评分、并发症发生情况。结果:观察组患者创面愈合时间、住院天数均短于对照组,住院费用低于对照组,差异有统计学意义(t=7.785、3.749、15.150,P<0.05)。术后3 d,观察组患者VAS评分明显低于对照组,GCQ评分明显高于对照组,差异有统计学意义(t=19.496、8.594,P<0.05)。术后3 d,观察组患者便秘评分、排尿障碍评分明显低于对照组,差异有统计学意义(t=10.663、13.062,P<0.05)。观察组患者并发症发生率为6.66%,明显低于对照组的21.62%,差异有统计学意义(χ^(2)=3.909,P<0.05)。结论:在肛周脓肿患者围手术期应用临床路径化护理干预,能够促进患者恢复,改善疼痛程度,提高舒适度,降低并发症发生率。
Objective:To analyze the effect of clinical pathway nursing intervention in perioperation of patients with perianal abscess,and to provide reference for the choice of clinical nursing intervention.Methods:82 patients with perianal abscess admit⁃ted to the hospital from January to December 2021 were selected as the study subjects,and the patients were divided into 37 cases in the control group(implementation of conventional care)and 45 cases in the observation group(implementation of clinical path⁃way nursing intervention)according to their different perioperative care methods.The clinical indicators,pain(visual analog scoring method[VAS]score),comfort(Kolcaba’s comfort status scale[GCQ]score),constipation and dysuria scores,and complications were compared between the two groups.Results:The wound healing time and hospital days were shorter in the observation group than in the control group,and the hospital costs were lower than in the control group,with statistically significant differences(t=7.785,3.749,15.150,P<0.05).At 3 d postoperatively,the VAS score of the observation group was significantly lower than that of the control group,and the GCQ score was significantly higher than that of the control group,with statistically significant differences(t=19.496,8.594,P<0.05).At 3 d after surgery,the constipation score and voiding disorder score in the observation group were significantly lower than those in the control group,with statistically significant differences(t=10.663,13.062,P<0.05).The compli⁃cation rate in the observation group was 6.66%,which was significantly lower than 21.62%in the control group,and the difference was statistically significant(χ^(2)=3.909,P<0.05).Conclusion:Applying clinical pathway-based nursing interventions in the perioperative period for patients with perianal abscesses can promote recovery,improve pain levels,enhance comfort,and reduce complication rates.
作者
孙美蓉
Sun Meirong(Department of General Surgery,People’s Hospital of Fengcheng,Fengcheng,Jiangxi,331100,China)
出处
《黑龙江医学》
2023年第19期2397-2399,共3页
Heilongjiang Medical Journal
基金
宜春市科技计划项目(JXYC2017KSB019)。
关键词
临床路径化护理干预
肛周脓肿
围手术期
应用效果
并发症
Clinical pathway nursing intervention
Perianal abscess
Perioperative period
Application effect
Complications
