摘要
目的 观察评价全程护理干预对高位肛周脓肿（HPA）行一期根治术患者生活质量（QOL）的影响效果.方法 选择2015年8月至2018年2月医院肛肠科收治的HPA患者98例,均采取低位切开、高位挂线、支管对口负压封闭引流（VSD）一期根治术治疗,并按照数字表法分为对照组与观察组,各49例.对照组实施常规护理;观察组在对照组的基础上实施全程护理干预.并比较两组QOL及并发症发生情况.结果 护理干预前,两组SF-36评分差异无统计学意义（均P＞0.05）;护理干预后,两组SF-36评分均明显升高,且观察组健康感觉、生活方式、情绪控制、日常生活能力、人际关系及社会活动评分均明显高于对照组（均P＜ 0.05）.观察组总并发症发生率为8.16％,显著低于对照组的34.69％（x 2=10.242 4,P=0.000 0）.观察组平均住院时间显著短于对照组（t=21.820 6,P＜0.05）.观察组复发率0.00％,明显低于对照组的4.65％（x 2=2.041 7,P＜0.05）.结论 对HPA行一期根治术患者实施全程护理干预,能够显著降低肛区疼痛、尿储留、伤口感染及便秘并发症发生率,缩短住院时间,降低复发率,有效提高患者QOL,在临床上具有大力推广应用价值.
Objective To observe and evaluate the effect of whole-course nursing intervention on the quality of life （QOL） of patients with high perianal abscess （HPA） undergoing primary radical surgery.Methods 98 patients with HPA treated at these two hospitals from August,2015 to February,2018 were selected.All the patients took low incision,high line,pipe counterpart closed negative pressure drainage （VSD）,and primary radical treatment.In accordance with the digital meter method,they were divided into a control group and an observation group,49 cases for each group.The control group were routinely cared;in addition,the observation group underwent whole-course nursing intervention.The QOL and complications of the two groups were compared.Results Before the nursing intervention,there were no statistical differences in the scores of SF-36 scale betwcen these two groups （all P 〉 0.05）.After the nursing intervention,the scores of SF-36 scale were significantly increased in both groups,and the scores of health sensation,lifestyle,emotional control,daily life ability,interpersonal relationship,and social activity were significantly higher in the observation group than in the control group （all P 〈 0.05）.The total complication rate was significantly lower in the observation group than in the control group （8.16% vs.34.69% x 2=10.242 4,P=0.000 0）.The average hospitalization time was significantly shorter in the observation group than in the control group （t=-21.820 6,P 〈 0.05）.The recurrence rate was obviously lower in the observation group than in the control group （0.00% vs.4.65%,x 2=2.041 7,P 〈 0.05）.Conclusions Whole nursing intervention for patients with HPA undertaking primary radical surgery can significantly decrease the incidences of anal pain,urine retention,wound infection,and constipation,shorten the hospitalization time,lower the recurrence rate,and improve patients＇ QOL,so it has application value in clinic.
作者
邓玲玲
侯来成
王小芳
孟炜
Deng Lingling;Hou Laicheng;Wang Xiaofang;Meng Wei(Department of Proctology,Chaoyang Hospital,Chancheng District,Foshan 528000,Chin;Organ Transplantation Center,Third Hospital,Sun Yat-Sen University,Guangzhou 510630,Chin)
出处
《国际医药卫生导报》
2018年第16期2541-2544,共4页
International Medicine and Health Guidance News
关键词
高位肛周脓肿
一期根治术
全程护理干预
生活质量
High perianal abscess
Primary radical surgery
Whole course nursing intervention
Quality of life
