论文部分内容阅读
目的探讨基于微信APP的围术期护理干预对混合痔术后患者身心健康的影响,为混合痔临床护理提供新依据。方法便利选取唐山市中医院肛肠科于2016年1—6月间住院的混合痔患者为传统护理方式组,7—12月患者为微信APP护理方式组,所有患者均拟行混合痔切除术。微信APP护理方式组采用微信APP辅助的围术期护理干预,传统方式组采用传统围术期护理干预。采用疼痛视觉模拟评分、SCL-90焦虑评分、出血症状及停止时间等工具或指标进行干预效果评价。结果术后1d、2d、3d微信APP护理方式组患者的创面疼痛程度优于传统方式组,差异有统计学意义(P<0.05);焦虑评分于术后24h、48h均好于传统方式组,差异有统计学意义(P<0.05);不同时间段,微信APP护理方式组患者术后出血症状积分均优于传统方式组,差异有统计学意义(P<0.05),而术后0~2d、3~5d、6~7d出血停止例数和停止出血率二组未见明显差异(P>0.05)。结论微信APP辅助的围术期护理方式可协助改善混合痔术后患者身心健康状况,是一种值得推广的围术期护理干预形式。
Objective To investigate the effect of perioperative nursing intervention on the physical and mental health of postoperative patients with mixed hemorrhoid and provide a new basis for the clinical nursing of mixed hemorrhoids. Methods Convenient selection of Tangshan Hospital of Traditional Chinese Medicine from January to June 2016 hospitalized patients with mixed hemorrhoids as the traditional care group, 7-December patients were WeChat APP care group, all patients were proposed mixed hemorrhoidectomy. The WeChat APP nursing group adopted the micro-channel APP-assisted perioperative nursing intervention, while the traditional mode group adopted the traditional perioperative nursing intervention. The pain visual analogue scale, SCL-90 anxiety score, bleeding symptoms and stopping time were used to evaluate the intervention effect. Results The degree of wound pain in the micro-APP treatment group was better than that in the traditional method group on the 1st, 2nd, 3rd day after operation (P <0.05). The anxiety score was better at 24h and 48h than that of the traditional method group, The difference was statistically significant (P <0.05). At different time points, the scores of postoperative hemorrhagic symptoms in WeChat APP nursing group were all better than those in the traditional group (P <0.05), while those in 0 ~ 2 d , 3 ~ 5d, 6 ~ 7d stop bleeding and stop bleeding rate no significant difference between the two groups (P> 0.05). Conclusion WeChat APP-assisted perioperative nursing may help to improve the patients’healthy status after mixed hemorrhoid surgery. It is a perioperative nursing intervention worthy of promotion.