陈梅琴 谢梅玉

摘要目的：探究针对性护理对肛肠科术后肛门疼痛及睡眠质量的影响。方法：选取2017年1月至2019年6月厦门市中医院收治的肛肠手术患者84例作为研究对象，按入院先后顺序分为对照组和观察组，每组42例。对照组进行常规护理干预，观察组进行针对性护理干预。比较2组护理前后的肛门疼痛情况[视觉模拟评分法（VAS）]和睡眠质量[匹兹堡睡眠质量指数（PSQI）]。结果：护理前2组的VAS及PSQI评分比较，差异无统计学意义（P>005），护理后观察组的VAS及PSQI评分显著低于对照组，差异有统计学意义（P<005）。结论：针对性护理可显著改善肛肠科术患者的肛门疼痛及睡眠质量，临床效果明确，值得应用和推荐。

关键词肛肠科手术;针对性护理;肛门疼痛;睡眠质量

Influence of Targeted Nursing for Postoperative Pain and Sleep Quality of Patients in Departmen of Anusintestines

CHEN Meiqin，XIE Meiyu

（Traditional Chinese Medicine Hospital of Xiamen City in Fujian Province，Xiamen 361000，China）

AbstractObjective：To explore the influence of targeted nursing for anal pain and sleep quality of patients after anorectal surgeryMethods：A total of 84 patients with anorectal operation from January 2017 to June 2019 were divided into control group and observation group with 42 in each group according to order of admissionThe routine group were with routine nursing intervention，and the observation group were with targeted nursing interventionThen the anal pain[visual analogue scale（VAS）] and sleep quality[Pittsburgh sleep quality index（PSQI scale）] of two groups before and after nursing were comparedResults：The VAS and PSQI score of two groups before nursing were compared，there were no statistically significant differences（P>005），the VAS and PSQI score of observation group after nursing were significantly lower than those of control group，there were statistically significant differences（P<005）Conclusion：The targeted nursing can significantly improve the anal pain and sleep quality of patients after anorectal surgery，and have a clear clinical effect，so it is worthy of application and recommendation.

KeywordsAnorectal surgery;Targeted nursing;Anal pain;Sleep quality

中圖分类号：R4736文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.053

临床通常以手术治疗肛瘘、肛裂以及痔疮等肛肠常见疾病，但患者在术后极易出现疼痛、排便困难、尿潴留等并发症[1]。肛肠术后剧烈持久的疼痛是导致患者负性情绪的主要因素，进而影响患者的睡眠质量，不利于术后恢复。针对性护理根据患者不同情况，实施不同的护理方案，可从根本上减轻患者的疼痛，缓解患者的负性情绪，有助于改善睡眠情况，从而促进患者的术后恢复。本次研究报道如下。

1资料与方法

11一般资料选取2017年1月至2019年6月厦门市中医院收治的肛肠手术患者84例作为研究对象，按入院先后顺序分为对照组和观察组，每组42例。对照组中男24例，女18例，年龄48～78岁，平均年龄（5617±526）岁;疾病类型：肛口狭窄9例，肛裂10例，肛瘘11例，混合痔12例。观察组中男22例，女20例，年龄47～76岁，平均年龄（5629±531）岁;疾病类型：肛门狭窄11例，肛裂12例，肛瘘9例，混合痔10例。一般……