综合护理干预在肛周脓肿患者术后舒适度中的作用

[摘要] 目的 通過对肛周脓肿患者实施不同的护理方案，观察患者经过护理干预后的临床效果，探究不同护理方案的临床特点。 方法 从来该院诊治的2016年1月—2018年4月的肛周脓肿患者中随机抽取86例，采用随机数字法随机分为对照组43例：实施常规护理，观察组43例：实施常规护理+综合护理，比较两组患者护理后的舒适度和满意度。结果  观察组不舒服占0.00%低于对照组16.28%，差异有统计学意义（χ2=10.175，P<0.05），一般舒适占11.63%低于对照组16.28%，差异有统计学意义（χ2=8.025，P<0.05），舒适占34.88%高于对照组25.58%，差异有统计学意义（χ2=9.957，P<0.05），非常舒适占53.49%高于对照组41.86%，差异有统计学意义（χ2=12.468，P<0.05），观察组患者的舒适度高于对照组，差异有统计学意义（P<0.05）;观察组不满意有3例，占6.98%，较满意11例，占25.58%，满意有29例，占67.44%，总满意度为93.02%;对照组不满意有8例，占18.60%，较满意15例，占34.88%，满意有20例，占46.52%，总满意度为81.40%。观察组总满意度高于对照组，差异有统计学意义（P<0.05）。 结论 综合护理可以有效提高肛周脓肿患者术后舒适度和满意度以及依从度，患者在术后疼痛得到有效缓解，生活质量改善显著，是一项值得临床广泛应用的护理方案。

[关键词] 综合护理;肛周脓肿;舒适度;生活质量

[中图分类号] R47          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0153-03

The Role of Comprehensive Nursing Intervention in Postoperative Comfort of Patients with Perianal Abscess

LIU Zhi-ping， WANG Nan

Department of Anorectal Surgery， Xinghua Hospital of Jiangsu Province， Xinghua， Jiangsu Province， 225700 China

[Abstract] Objective To observe the clinical effects of patients after perianal abscess by different nursing programs， and to explore the clinical characteristics of different nursing programs. Methods Eighty-six patients with perianal abscess from January 2016 to April 2018 in our hospital were randomly selected and randomly divided into the control group by 43 patients： routine nursing， 43 patients in the observation group： routine nursing + comprehensive care， comparing the comfort and satisfaction of the two groups of patients after care. Results The uncomfortableness of the observation group was 0.00% lower than that of the control group 16.28%，the difference was statistically significant（χ2=10.175， P<0.05）. The general comfort rate was 11.63% lower than the control group 16.28%，the difference was statistically significant（χ2=8.025， P<0.05）， and the comfort rate was 34.88%， higher than the control group， 25.58%，the difference was statistically significant（χ2=9.957， P<0.05）， 53.49% was very comfortable and 41.86% higher than the control group，the difference was statistically significant（χ2=12.468， P<0.05）. The comfort of the observation group was higher than that of the control group，the difference was statistically significant（P<0.05）. There were 3 cases in the observation group， accounting for 6.98%， 11 cases were satisfactory， accounting for 25.58%， 29 cases were satisfied， accounting for 67.44%， total satisfaction was 93.02%; 8 cases were unsatisfied in the control group， accounting for 18.60% 15 cases were more satisfied， accounting for 34.88%， 20 cases were satisfied， accounting for 46.52%， and the total satisfaction was 81.40%. The total satisfaction of the observation group was higher than that of the control group，the difference was statistically significant（P<0.05）. Conclusion Comprehensive nursing can effectively improve postoperative comfort and satisfaction and compliance of patients with perianal abscess. Patients have effective relief of postoperative pain and significant improvement in quality of life. It is a nursing program that is worthy of clinical application.