作　　者： (）;

机构地区： 广州市红十字会医院

出　　处： 《中国医药科学》 2019年第8期159-162,共4页

摘　　要： 目的探讨围术期全期护理对肛肠外科患者术后康复、自护能力的影响。方法选取2017年1月～2018年3月于我院手术治疗的130例肛肠疾病患者,采用随机数字表法分为观察组和对照组,每组65例。其中观察组给予围术期全期护理措施,对照组在围术期接受常规护理。对比分析两组患者术后恢复情况(术后肠鸣音恢复时间、术后首次进食时间、术后首次排便时间、术后数次下床时间、术后住院时间及焦虑、疼痛评分、并发症发生率)、自护能力以及对护理的满意情况。结果观察组的自我护理能力均优于对照组,差异有统计学意义(P <0.05);在术后恢复情况方面,观察组术后肠鸣音恢复时间、术后首次进食时间、术后首次排便时间、术后首次下床时间、术后住院时间均短于对照组,术后疼痛评分、焦虑评分以及并发症发生率均明显低于对照组,差异均有统计学意义(P <0.05);观察组满意度得分明显高于对照组(P <0.05)。结论采用全期护理方式不仅有助于行肛肠手术患者自我照顾能力的提升,同时也能促进患者术后康复,减少患者疼痛感受,提高护理满意度。 Objective To explore the effect of perioperative full-time nursing on postoperative rehabilitation and self-care ability of patients in department of anorectal surgery. Methods 130 patients with anorectal diseases who were treated with surgery in our hospital from January 2017 to March 2018 were selected and they were divided into the observation group and the control group according to the random number table method, with 65 cases in each group. The observation group was given perioperative full-time nursing while the control group was given routine nursing during the perioperative period. The postoperative recovery (postoperative recovery time of bowel sound, first eating time after operation, first defecation time after operation, out of bed time after operation, postoperative hospital stay, anxiety score, pain score, incidence of complications), self-care ability and satisfaction with nursing were observed and compared between two groups. Results The self-care ability of the observation group was better than that of the control group, and the difference was statistically significant (P < 0.05). In terms of postoperative recovery, postoperative recovery time of bowel sound, first eating time after operation, first defecation time after operation, first lout of bed time after operation and postoperative hospital stay in the observation group were all shorter than those in the control group, and postoperative pain score, anxiety score and incidence of complications were all significantly lower than those in the control group. The differences were statistically significant (P < 0.05). The satisfaction score of the observation group was significantly higher than that of the control group (P < 0.05). Conclusion Full-time nursing not only helps to improve the self-care ability of patients undergoing anorectal surgery, but also promotes the postoperative rehabilitation, reduces pain perception and improves nursing satisfaction.

关 键 词： 围术期 全期护理 肛肠外科 术后康复 自我护理

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