摘要
目的 将系统化整体护理模式用于肛裂手术患者中，探究其对术后疼痛的缓解效果。方法 选取2024年3月-2025年4月本院收治的60例肛裂手术患者，随机分组，对照组30例行常规护理，观察组30例实施系统化整体护理，对两组干预结果进行比较。结果 术前，两组VAS评分比较，不具显著差异（P>0.05），术后1~3d时，观察组VAS评分更低（P<0.05）；干预前，观察组SF-36、PSQI评分比较，不具显著差异（P>0.05），干预后，观察组SF-36评分更高、PSQI评分更低（P<0.05）；两组便秘发生率比较，观察组3.33%更低（P<0.05）；两组护理满意度比较，观察组100%更高（P<0.05）。结论 对肛裂手术患者来说，应用系统化整体护理模式可缓解术后疼痛程度，还可提高患者生活及睡眠质量，减少术后便秘发生，提高护理满意度，具有较高应用价值。
关键词： 肛裂；系统化整体护理模式；术后疼痛；生活质量
Abstract
Objective To apply the systematic holistic nursing model to patients undergoing anal fissure surgery and explore its effect on relieving postoperative pain. Methods Sixty patients who underwent anal fissure surgery and were admitted to our hospital from March 2024 to April 2025 were randomly divided into groups. Thirty patients in the control group received routine care, and 30 patients in the observation group received systematic holistic care. The intervention results of the two groups were compared. Results Before the operation, there was no significant difference in the VAS scores between the two groups (P>0.05). From 1 to 3 days after the operation, the VAS score of the observation group was lower (P<0.05). Before the intervention, there was no significant difference in the SF-36 and PSQI scores of the observation group (P>0.05). After the intervention, the SF-36 score of the observation group was higher and the PSQI score was lower (P<0.05). The comparison of constipation incidence between the two groups showed that the observation group had a lower incidence of 3.33% (P<0.05); The comparison of nursing satisfaction between the two groups showed that the observation group was 100% higher (P<0.05). Conclusion For patients undergoing anal fissure surgery, the application of the systematic holistic nursing model can alleviate the degree of postoperative pain, improve the quality of life and sleep of patients, and reduce the occurrence of postoperative constipation, Improve nursing satisfaction, It has high application value.
Key words： Anal fissure; Systematic holistic nursing model; Postoperative pain; Quality of life
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