中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
35期
84-86,87
,共4页
个性化%护理干预%痔疮%康复
箇性化%護理榦預%痔瘡%康複
개성화%호리간예%치창%강복
Personalized%Nursing intervention%Hemorrhoids%Rehabilitation
目的：探讨个性化护理干预在痔疮患者术后康复中的应用效果。方法：收集2010年12月-2013年12月本院普外科住院收治的痔疮患者90例，随机分为两组：观察组与对照组。对照组给予临床常规护理，观察组在此基础上，针对患者的临床特点，给予一系列个性化护理干预措施。观察比较两组患者术后生命体征和疼痛评分（VAS）、术后康复指标及出院时患者满意度。结果：观察组术后生命体征指标变化不大，保持稳定水平，而对照组术后2、12、24、48 h的心率、呼吸、血压的变化幅度较大，两组比较差异有统计学意义（P<0.05）。两组患者术后VAS评分均逐渐下降，但观察组各时间点的VAS评分均明显低于对照组，差异有统计学意义（P<0.05）。两组术后康复指标观察比较，观察组的切口愈合时间、住院时间、首次排尿时间、首次排便时间均明显短于对照组（P<0.05），观察组术后并发症发生率也明显低于对照组（P<0.05）。出院时问卷调查结果发现，观察组患者的满意率明显高于对照组（P<0.05）。结论：个体化护理干预能够帮助患者尽早调整机体的适应状态，缓解痔疮患者术后疼痛，明显减少患者术后并发症的发生，促进患者术后康复，明显提高患者及家属对护理工作的满意度。
目的：探討箇性化護理榦預在痔瘡患者術後康複中的應用效果。方法：收集2010年12月-2013年12月本院普外科住院收治的痔瘡患者90例，隨機分為兩組：觀察組與對照組。對照組給予臨床常規護理，觀察組在此基礎上，針對患者的臨床特點，給予一繫列箇性化護理榦預措施。觀察比較兩組患者術後生命體徵和疼痛評分（VAS）、術後康複指標及齣院時患者滿意度。結果：觀察組術後生命體徵指標變化不大，保持穩定水平，而對照組術後2、12、24、48 h的心率、呼吸、血壓的變化幅度較大，兩組比較差異有統計學意義（P<0.05）。兩組患者術後VAS評分均逐漸下降，但觀察組各時間點的VAS評分均明顯低于對照組，差異有統計學意義（P<0.05）。兩組術後康複指標觀察比較，觀察組的切口愈閤時間、住院時間、首次排尿時間、首次排便時間均明顯短于對照組（P<0.05），觀察組術後併髮癥髮生率也明顯低于對照組（P<0.05）。齣院時問捲調查結果髮現，觀察組患者的滿意率明顯高于對照組（P<0.05）。結論：箇體化護理榦預能夠幫助患者儘早調整機體的適應狀態，緩解痔瘡患者術後疼痛，明顯減少患者術後併髮癥的髮生，促進患者術後康複，明顯提高患者及傢屬對護理工作的滿意度。
목적：탐토개성화호리간예재치창환자술후강복중적응용효과。방법：수집2010년12월-2013년12월본원보외과주원수치적치창환자90례，수궤분위량조：관찰조여대조조。대조조급여림상상규호리，관찰조재차기출상，침대환자적림상특점，급여일계렬개성화호리간예조시。관찰비교량조환자술후생명체정화동통평분（VAS）、술후강복지표급출원시환자만의도。결과：관찰조술후생명체정지표변화불대，보지은정수평，이대조조술후2、12、24、48 h적심솔、호흡、혈압적변화폭도교대，량조비교차이유통계학의의（P<0.05）。량조환자술후VAS평분균축점하강，단관찰조각시간점적VAS평분균명현저우대조조，차이유통계학의의（P<0.05）。량조술후강복지표관찰비교，관찰조적절구유합시간、주원시간、수차배뇨시간、수차배편시간균명현단우대조조（P<0.05），관찰조술후병발증발생솔야명현저우대조조（P<0.05）。출원시문권조사결과발현，관찰조환자적만의솔명현고우대조조（P<0.05）。결론：개체화호리간예능구방조환자진조조정궤체적괄응상태，완해치창환자술후동통，명현감소환자술후병발증적발생，촉진환자술후강복，명현제고환자급가속대호리공작적만의도。
Objective:To study the application effect of personalized nursing intervention in postoperative rehabilitation of patients with hemorrhoids.Method:From December 2010 to December 2013,90 patients with hemorrhoids were collected in our hospital,and they were randomly divided into two groups:observation group and control group.Control group were given routine clinical nursing.Based on this,the observation group were given a series of personalized nursing intervention measures according to the clinical characteristics of patients.The postoperative vital signs and pain score(VAS),postoperative recovery index,and patient satisfaction at discharge in two groups were compared. Result:The postoperative vital signs of observation group changed little,kept the stable level,while the change in heart rate,respiration,blood pressure of control group after 2,12,24,48 h of were more,there were significant differences between the two groups(P<0.05).VAS score of two groups with postoperative were gradually decline,but at each time point VAS scores of observation group were significantly lower than that in the control group(P<0.05).Postoperative rehabilitation measure,the incision healing time,length of hospital stay,urination and defecation time for the first time of observation group were significantly shorter than that of the control group(P<0.05),the postoperative complications of observation group were obviously lower than that of the control group(P<0.05).The satisfaction of patients in observation group was obviously higher than that of control group(P<0.05).Conclusion:The personalized nursing intervention can adjust the body to adapt as soon as possible,help patients alleviate hemorrhoids and postoperative pain,and significantly reduce postoperative complications and promote the postoperative rehabilitation,significantly improve the satisfaction of nursing work.
