摘要
目的:探讨中药熏洗坐浴结合护理干预在肛周脓肿患者中的应用效果,为临床治疗提供依据。方法:选取2021年1月—2022年3月丰城市人民医院收治的97例肛周脓肿患者的病历资料进行回顾性分析,根据干预方法不同将其分为对照组48例,观察组49例。对照组采用综合护理干预,观察组采用综合护理结合中药熏洗坐浴干预。比较两组患者临床疗效、症状消失时间、治疗满意度及心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]。结果:观察组患者临床总有效率为93.88%,明显高于对照组的79.17%,差异有统计学意义(χ^(2)=4.521,P<0.05)。观察组患者肛周水肿、切口渗液、排便困难及切口疼痛症状消失时间明显短于对照组,差异有统计学意义(t=12.389、8.720、12.772、12.125,P<0.05)。观察组患者治疗满意度为97.96%,明显高于对照组的83.33%,差异有统计学意义(χ^(2)=6.162,P<0.05)。熏洗后,观察组患者SDS与SAS评分明显低于对照组,差异有统计学意义(t=2.444、3.189,P<0.05)。结论:中药熏洗坐浴结合护理干预治疗肛周脓肿能够有效缩短临床症状消失时间,缓解患者焦虑及抑郁情绪,提高患者治疗效果和治疗满意度。
Objective:To investigate the effect of herbal fumigation sitz bath combined with nursing interventions in patients with perianal abscess,and to provide a basis for clinical treatment.Methods:The medical records of 97 patients with perianal abscess admitted to the hospital from January 2021 to March 2022 were selected for retrospective analysis,and they were divided into 48 cases in the control group and 49 cases in the observation group according to different intervention methods.The control group used comprehensive nursing intervention,and the observation group used comprehensive nursing combined with herbal fumigation sitz bath intervention.The clinical efficacy,symptom disappearance time,treatment satisfaction and psychological status(anxiety self-assessment scale[SAS]and depression self-assessment scale[SDS]scores)were compared between the two groups.Results:The total clinical efficiency of the observation group was 93.88%,which was significantly higher than 79.17%of the control group,and the difference was statistically significant(χ^(2)=4.521,P<0.05).The disappearance time of perianal edema,incisional exudate,defecation difficulty and incisional pain symptoms was significantly shorter in the observation group than in the control group,with statistically significant differences(t=12.389,8.720,12.772,12.125,P<0.05).Treatment satisfaction in the observation group was 97.96%,which was significantly higher than 83.33%in the control group,and the difference was statistically significant(χ^(2)=6.162,P<0.05).After fumigation,the SDS and SAS scores of the observation group were significantly lower than those of the control group,with statistically significant differences(t=2.444,3.189,P<0.05).Conclusion:Chinese herbal fumigation sitz bath combined with nursing intervention for the treatment of perianal abscess can effectively shorten the disappearance time of clinical symptoms,relieve patients’anxiety and depression,and improve patients’treatment effect and treatment satisfaction.
作者
孙美蓉
Sun Meirong(General Surgery,Fengcheng People’s Hospital,Fengcheng,Jiangxi,331100,China)
出处
《黑龙江医学》
2023年第21期2664-2666,共3页
Heilongjiang Medical Journal
基金
江西省卫生计生委普通科技计划项目(20197517)。
关键词
中药熏洗坐浴
护理干预
肛周脓肿
Chinese medicine fumigation and sitz bath
Nursing intervention
Perianal abscess
