吕芳

[摘要] 目的 探讨舒适护理在痔疮围手术期患者中的应用措施和护理质量。方法 该研究方便选择该院2017年4月—2018年4月收治的痔疮围手术期患者100例，分为参照组与试验组，每组50例，给予参照组常规护理，给予试验组舒适护理，对比两组患者的治疗情况、并发症发病率、日常生活能力、护理满意度，进行统计学分析。结果 试验组患者手术时间、术后排气时间、创面愈合时间与住院时间均优于参照组，差异有统计学意义（P<0.05）。试验组患者并发症发生率4.00%优于参照组16.00%，差异有统计学意义（χ2=4.000，P<0.05）。试验组护理后日常生活能力评分明显优于参照组，差异有统计学意义（P<0.05）。试验组护理满意度明显高于参照组，差异有统计学意义（P<0.05）。结论 痔疮患者围手术期实施舒适护理，有效缩短治疗时间，预防并发症，改善日常生活能力，得到满意评价，具有显著的护理效果。

[关键词] 痔疮;舒适护理;手术治疗;日常生活能力

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2020）09（a）-0129-04

[Abstract] Objective To explore the application measures and nursing quality of comfort nursing in patients with hemorrhoids during perioperative period. Methods This study conveniently selected 100 patients with hemorrhoids during the perioperative period. The study period was from April 2017 to April 2018. They were divided into a reference group and a test group， each with 50 cases. The reference group was given routine care and the test group was given comfortable nursing， comparing the treatment status， morbidity of complications， ability of daily living， and nursing satisfaction of the two groups of patients， and statistical analysis. Results The operation time， postoperative exhaust time， wound healing time and hospitalization time of the experimental group were better than those of the reference group， the difference was statistically significant（P<0.05）. The incidence of complications in the experimental group 4.00% was better than that in the reference group 16.00%， the difference was statistically significant（χ2=4.000，P<0.05）. The score of daily living ability after nursing in the experimental group was significantly better than that of the reference group， the difference was statistically significant（P<0.05）. The nursing satisfaction of the experimental group was significantly higher than that of the reference group， the difference was statistically significant（P<0.05）. Conclusion Comfortable nursing care for patients with hemorrhoids during the perioperative period can effectively shorten the treatment time， prevent complications， and improve the ability of daily living. It has been satisfactorily evaluated. It has a significant nursing effect.

[Key words] Hemorrhoids; Comfort care; Surgical treatment; Ability of daily living

痔瘡为临床常见肛门疾病，发病于任何年龄，且发病率与年龄呈正相关。痔疮根据发生部位进行分类，可分为外痔、内痔与混合痔，临床常采用手术治疗，效果显著[1]。近年来，随着医疗技术不断发展，痔疮手术逐渐增多，且微创技术的广泛应用，有效减轻患者痛苦，促进恢复。然而，尽管微创手术具有较多优点，但其治疗效果受到患者心理状态、环境因素等影响，需配合实施科学护理干预。大量临床实践表明[2-3]，痔疮患者围手术期应用舒适护理，可有效促进恢复，减少不适感，改善日常生活能力，对患者具有重要意义。当前，临床缺乏痔疮患者实施围手术期舒适护理有关研究。基于此，该文方便选择2017年4月—2018年4月的100例痔疮围手术期患者为对象，探究舒适护理在痔疮围手术期患者中的应用措施和护理质量。报道如下。

1  资料与方法

1.1  一般资料

该研究对象为方便选取痔疮围手术期患者100例，分为参照组与试验组，每组50例。……