康复前移护理方案在混合痔病人术后康复中的应用

    Application of rehabilitation forward nursing scheme in postoperative recovery of patients with mixed hemorrhoids

    • 摘要:
      目的 探讨康复前移护理方案在混合痔病人术后康复中的应用效果。
      方法 采用便利抽样法选取混合痔术后病人80例作为研究对象,随机分为观察组和对照组,各40例。对照组采用混合痔术后常规护理,观察组采用康复前移护理方案进行干预。比较2组病人术后康复指标、舒适状况和自我管理水平。
      结果 术后第4、7天,观察组创面水肿、出血评分等级和疼痛评分均低于对照组(P < 0.05~P < 0.01)。观察组术后排便时间进和创面愈合时间均短于对照组(P < 0.01和P < 0.05)。出院时和干预后1个月,2组舒适状态、自我管理能力各维度及总评分均较干预前明显提高(P < 0.01),且观察组均高于对照组(P < 0.05~P < 0.01)。
      结论 康复前移护理方案有助于提升病人的康复效率、舒适状态和对疾病的自我管理能力,对混合痔病人术后康复有积极作用。

       

      Abstract:
      Objective To explore the application effect of rehabilitation forward nursing scheme in postoperative recovery of patients with mixed hemorrhoids.
      Methods A total of 80 postoperative patients with mixed hemorrhoids were selected as study subjects using convenience sampling method and randomly divided into an observation group and a control group, with 40 cases in each group.The control group was treated with routine nursing after mixed hemorrhoid operation, while the observation group was treated with rehabilitation forward nursing scheme.The postoperative recovery indicators, comfort status, and self-management ability were compared between the two groups.
      Results On postoperative day 4 and day 7, the wound edema, bleeding score level, and pain score in the observation group were lower than those in the control group (P < 0.05 to P < 0.01).Postoperative defecation time and wound healing time in observation group were shorter than those in the control group (P < 0.01 and P < 0.05).At discharge and one month after intervention, the comfort status, each dimension of self-management ability and total score in the two groups were significantly improved compared with before intervention (P < 0.01), and which in the observation group were higher than those in the control group (P < 0.05 to P < 0.01).
      Conclusions The rehabilitation forward nursing scheme can help improve patients′ rehabilitation efficiency, comfort status, and self-management ability of disease, and has positive effects on the postoperative rehabilitation of patients with mixed hemorrhoids.

       

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