优质护理在开环式微创痔吻合术治疗中重度痔术后并发症干预体会

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目的:观察全程优质护理在开环式微创痔吻合术(TST)治疗中重度混合痔术后并发症的效果。方法:将376例拟行TST治疗的中重度混合痔患者,按照随机数字表随机分实验组189例和对照组187例,分别实施全程优质护理和传统的常规护理,对两组患者术后并发症发生率及对护理满意度进行比较,总结适合该术式的优质护理方法。结果:实验组和对照组的治愈率分别为97.35%和96.27%,两者之间无统计学差异(P>0.05),但实验组患者护理满意度明显高于对照组(P<0.05);实验组术后出现肛门坠胀感、切口疼痛和术后排便困难等并发症的发生率亦明显低于对照组(P<0.05)。结论:全程优质护理在TST治疗中重度混合痔中的应用,减轻了患者对手术的恐惧,使患者更容易配合手术及后期治疗,减少了术后并发症的发生率,增加患者的护理满意度,值得临床推广。 Objective: To observe the effect of full-quality high-quality nursing in the postoperative complications of moderate mixed hemorrhoids after open loop minimally invasive hemorrhoid anastomosis (TST). Methods: A total of 376 patients with mixed severe hemorrhoid treated by TST were randomly divided into two groups according to random number table: 189 cases in the experimental group and 187 cases in the control group. Quality nursing and traditional routine nursing were performed respectively. The incidence of disease and nursing satisfaction were compared to summarize the method for the quality of care methods. Results: The cure rates of experimental group and control group were 97.35% and 96.27% respectively, there was no significant difference between the two groups (P> 0.05). However, the nursing satisfaction of the experimental group was significantly higher than that of the control group (P <0.05). The postoperative anal appendicitis, incision pain and postoperative defecation complications such as complications were significantly lower than the control group (P <0.05). Conclusion: The application of full quality nursing in severe mixed hemorrhoids in TST treatment reduced the patients’ fear of surgery, facilitated the patients to cooperate with operation and post-treatment, reduced the incidence of postoperative complications and increased patient satisfaction , It is worth clinical promotion.
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