中醫(yī)護理路徑對肛腸手術(shù)患者臨床效果及舒適度的影響

[摘要] 目的 探究中醫(yī)護理路徑對肛腸手術(shù)患者臨床效果及舒適度的影響。方法 方便選取該院2013年12月—2016年3月收治的104例肛腸手術(shù)患者臨床資料進行分析，將其按護理方法不同分為對照組（52例）與研究組（52例），對照組予以基礎(chǔ)護理，研究組予以中醫(yī)護理路徑方案護理，比較兩組心理狀態(tài)及疼痛評分、排便困難積分與并發(fā)癥情況。結(jié)果 研究組護理后患者SAS、SDS、VAS評分分別為（37.17±3.33）分、（41.41±3.18）分、（3.63±0.91）分與對照組（42.03±3.32）分、（45.79±3.22）分、（4.92±1.04）分相比顯著低（P<0.05），兩組護理前排便困難積分差異無統(tǒng)計學(xué)意義（P>0.05），護理后研究組大便干結(jié)（0.82±0.13）分、緊迫感（0.95±0.33）分、排便不盡（0.68±0.08）分與對照組（1.85±0.22）分、（1.53±0.22）分、（1.36±0.17）分相比顯著低（P<0.05），研究組并發(fā)癥總發(fā)生率7.69%高于對照組23.07%（P<0.05）。 結(jié)論 肛腸手術(shù)患者采取中醫(yī)護理路徑進行護理可有效提高患者心理狀態(tài)，緩解疼痛感，降低并發(fā)癥發(fā)生率，具臨床推廣與應(yīng)用價值。

[關(guān)鍵詞] 肛腸手術(shù)；舒適度；中醫(yī)護理路徑

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0136-03

[Abstract] Objective To explore the influence of traditional Chinese medicine nursing path on the clinical effect and comfort of anorectal operation. Methods Convenient selection from December 2013 to March 2016 in our hospital， 104 cases of anorectal operation were analyzed. The patients were divided into control group （52 cases） and study group （52 cases） which according to the nursing method. The control group given basicnursing care， and the study group given Chinese nursing care path program，then compared the scores of psychological status， pain scores， difficulty in defecation between the two groups. Results The SAS， SDS and VAS scores of the study group were （37.17±3.33）points，（41.41±3.18）points，（3.63±0.91）points respectively，which were significantly lower than those in the control group（42.03±3.32）points，（45.79±3.22）points and （4.92±1.04） points， respectively（P<0.05）. There was no significant difference in the score of dysuria before nursing（P>0.05）. There was no significant difference with the stool dryness（0.82±0.13）points，the sense of urgency（0.95±0.33）points， the stagnation of bowel movement（0.68±0.08）points in study group were significantly lower than those of the control group（1.85±0.22）points，（1.53±0.22）points and（1.36±0.17）points respectively（P<0.05）.The overall incidence of complications in the study group（7.69%）was higher than that in the control group （23.07%）（P<0.05）. Conclusion The patients given the nursing path of traditional Chinese medicinewith anorectal surgery could improve the psychological state， alleviate the pain and reduce the incidence of complications，whichworth of clinical application and popularization.

[Key words] Anorectal surgery；Comfort；Nursing Path of Traditional Chinese Medicine

肛腸科疾病屬于較為常見一種疾病，隨著人們飲食結(jié)構(gòu)、作息時間改變，肛腸疾病發(fā)病率呈上升趨勢。臨床常用治療方式為手術(shù)治療，但因術(shù)后伴隨不同程度的疼痛，使患者心理狀態(tài)受到影響從而增加機體應(yīng)激反應(yīng)，臨床護理配合度受到影響，并發(fā)癥發(fā)生率增加[1]。為明確肛腸手術(shù)患者應(yīng)用中醫(yī)護理路徑護理對治療效果與患者舒適度的影響，該院方便選取2013年12月—2016年3月收治的104例患者資料予以分析，現(xiàn)報道如下。

1 資料與方法

1.1 一般資料

方便選取該院收治的104例肛腸手術(shù)患者臨床資料進行分析，將其按護理方法不同分為對照組（52例）與研究組（52例）。……