早期中医护理干预对肛肠手术患者术后并发症防预效果观察
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摘要
目的:观察早期中医护理干预对肛肠手术患者术后并发症的防预效果。方法:选取2017年3月～2018年3月我院收治的肛肠疾病患者共1500例,根据护理方法不同分组,纳入采用常规护理的745例患者入对照组,纳入采用常规护理联合早期中医护理干预的755例患者入观察组,观察患者术后并发症发生情况以及对患者抑郁、焦虑情绪和生活质量的影响。结果:观察组并发症发生率为13.51%显著低于对照组的32.35%,有统计学意义(P<0.05);观察组护理后焦虑自评量表(SAS)和抑郁自评量表(SDS)均低于对照组,有统计学意义(P<0.05);观察组社会关系、心理、环境、生理、精神宗教信仰、独立性等生活质量测定量表(QOL)评分均低于对照组,有统计学意义(P<0.05)。结论:早期中医护理干预能明显降低肛肠手术患者术后并发症的发生几率,减轻抑郁、焦虑程度,提高患者术后生活质量。
Objective:To observe the preventive Effect of early TCM nursing intervention on postoperative complications for patients with anorectal surgery.Methods:1500 cases of patients with anorectal diseases admitted to our hospital from March 2017 to March 1818 were selected.According to the different nursing methods,745 cases were intervened with routine nursing were included in controlled group,and 755 cases were intervened with routine nursing combined with early TCM nursing intervention were enrolled in observation group.The occurrence of postoperative complications and their influence on depression,anxiety and quality of life were observed.Results:The incidence rate of complications in the observation group was significantly lower than that in the controlled group(13.51% vs 32.35%)(P<0.05).The scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) after nursing in the observation group were lower than those in the controlled group(P<0.05).The scores of social relations,psychology,environment,physiology,spiritual and religious beliefs and independence of quality of life(QOL) scale in the observation group were lower than those in the controlled group(P<0.05).Conclusions:Early TCM nursing intervention can significantly reduce the incidence rate of postoperative complications in patients with anorectal surgery,and relieve the depression and anxiety,and improve the postoperative quality of life.
Objective:To observe the preventive Effect of early TCM nursing intervention on postoperative complications for patients with anorectal surgery.Methods:1500 cases of patients with anorectal diseases admitted to our hospital from March 2017 to March 1818 were selected.According to the different nursing methods,745 cases were intervened with routine nursing were included in controlled group,and 755 cases were intervened with routine nursing combined with early TCM nursing intervention were enrolled in observation group.The occurrence of postoperative complications and their influence on depression,anxiety and quality of life were observed.Results:The incidence rate of complications in the observation group was significantly lower than that in the controlled group(13.51% vs 32.35%)(P<0.05).The scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) after nursing in the observation group were lower than those in the controlled group(P<0.05).The scores of social relations,psychology,environment,physiology,spiritual and religious beliefs and independence of quality of life(QOL) scale in the observation group were lower than those in the controlled group(P<0.05).Conclusions:Early TCM nursing intervention can significantly reduce the incidence rate of postoperative complications in patients with anorectal surgery,and relieve the depression and anxiety,and improve the postoperative quality of life.
引文
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[3] 汤乐乐,万文燕,高家治.中药超声雾化熏洗促进肛肠疾病患者术后伤口愈合的效果观察与护理[J].中华现代护理杂志,2015,21(10):1136～1138
[4] 张桂燕.优质护理联合心理干预对血液透析患者焦虑自评量表及抑郁自评量表指标情况的影响研究[J].山西医药杂志,2016,45(8):970～973
[5] 于长禾,孙亚男,何丽云,等.中医生活质量量表心理测量性能证据的系统评价[J].中华中医药杂志,2015,30(5):1631～1635
[6] 王蕾,陈澍,弓娟,等.痔科熏洗方治疗肛肠疾病术后常见并发症疗效观察[J].现代中西医结合杂志,2016,25(7):722～724
[7] 陈丽荣,李师,李明哲,等.60例肛周脓肿围手术期及术后并发症护理效果观察[J].结直肠肛门外科,2016,22(5):547～548
[8] 赵学理,沈彬慧,曹永清,等.熏洗坐浴法在肛肠病术后并发症应用探讨[J].陕西中医,2016,37(2):225～227
[9] 刘嘉.耳穴埋籽联合穴位敷贴治疗肛肠疾病术后疼痛34例临床观察[J].中医药导报,2014,20(1):75～76
[10] 王金存,夏丽,黄晓萍,等.耳穴埋籽对肛肠术后尿潴留的影响[J].实用临床医药杂志,2013,17(4):91～92
[11] 隋慧艳.中医护理路径在肛肠手术患者中的护理效果观察[J].四川中医,2015,33(6):182～184
[12] 崔宇红,李芳.艾灸联合赤小豆贴敷治疗脊柱病术后尿潴留43例疗效观察及护理体会[J].中国妇幼保健,2014,29(17):2820～2821
[13] 陈晨,戴新娟.炎症性肠病患者生活质量与自我效能、焦虑、抑郁水平的相关性研究[J].护理研究,2016,30(5):556～559