Application effect analysis of holistic nursing intervention in postoperative anal fistula
整体护理干预在肛瘘术后的应用效果分析

摘要

目的 观察肛瘘术后采取整体护理干预所体现的价值。方法 纳入本院2022年8月至2023年8月时段内行手术治疗的肛瘘患者，将全体96例患者依据入院顺序编号随机划分两组，各组48例。对照组术后实施常规护理，观察组术后实施整体护理干预。从术后排尿功能恢复、疼痛程度、并发症对两组做出综合评价。结果 两组干预后膀胱过度活动症评分量表（OABSS）得分较组内干预前有显著下降（P＜0.05）；且观察组较对照组下降更明显（P＜0.05）。对比术后1d、2d、3d的视觉模拟评分（VAS），观察组较对照组下降更明显（P＜0.05）。对比术后并发症，观察组总发生率较对照组下降更明显（P＜0.05）。结论 肛瘘术后采取整体护理干预，有助于患者尽快恢复排尿功能，明显减轻疼痛，控制并发症发生，体现较高临床推广价值。

Abstract

Objective To observe the value of holistic nursing intervention after anal fistula surgery.
Methods All 96 patients with anal fistula who underwent surgical treatment from August 2022 to August 2023 were randomly divided into two groups with 48 patients in each group according to the admission sequence number. The control group received routine nursing and the observation group received holistic nursing intervention. The two groups were evaluated comprehensively in terms of postoperative urination function recovery, pain degree and complications.
Results After intervention, the score of overactive bladder disorder score Scale (OABSS) in both groups was significantly decreased compared with that before intervention (P < 0.05). The decrease of observation group was more obvious than control group (P < 0.05). Compared with the postoperative visual analogue score (VAS) of 1d, 2d and 3d, the observation group was significantly lower than the control group (P < 0.05). Compared with the control group, the total incidence of postoperative complications decreased significantly in the observation group (P < 0.05).
Conclusion   Holistic nursing intervention after anal fistula surgery can help patients recover urination function as soon as possible, significantly reduce pain and control complications, which reflects high clinical promotion value.