摘要
目的研究旨在探讨以中医传承为主导的创新管理模式对肛肠疾病术后患者疼痛程度的影响。方法将2024年3月—2024年8月收治的60例肛肠疾病患者为研究对象,采用随机数字表法分为对照组及研究组各30组,研究组采用以中医传承为主导的创新管理模式干预,对照组采用常规护理干预。对比两组止痛时间、创面肿胀缓解时间、创面愈合时间、住院时间、舒适程度及满意度情况,观察两组干预前、干预后1 d、3 d及7 d的疼痛程度,分析干预前后两组睡眠质量。结果研究组患者止痛时间、创面肿胀缓解时间、创面愈合时间、住院时间均少于对照组,差异显著(P<0.05)。干预前,两组疼痛程度比较,差异无统计学意义(P>0.05);干预后1 d、3 d及7 d,研究组疼痛程度低于对照组,差异有统计学意义(P<0.05)。研究组自理能力、换药疼痛程度、切口疼痛程度、尿潴留、排便困难及大便失禁评分高于对照组,差异有统计学意义(P<0.05)。研究组EGF、VEGF水平高于对照组,差异有统计学意义(P<0.05)。干预前,两组睡眠质量评分比较,差异无统计学意义(P>0.05);干预后,研究组睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。研究组满意度高于对照组,差异显著(P<0.05)。结论以中医传承为主导的创新管理模式能够有效缓解肛肠疾病术后患者疼痛程度,促使患者康复,可在临床推广应用。
Objective This study aims to explore the impact of traditional Chinese medicine inheritation-led innovative man⁃agement model on the pain degree of postoperative patients with anorectal diseases.Methods A Sixty patients with anorectal dis⁃eases admitted to our hospital from March 2024 to August 2024 were selected as the study objects,and were divided into control group and study group with 30 groups each by random number table method.The study group adopted innovative management mode intervention led by traditional Chinese medicine inheritance,and the control group adopted routine nursing intervention.The pain relief time,wound swelling relief time,wound healing time,hospital stay,comfort level and satisfaction of the two groups were compared.The pain degree of the two groups before intervention,1 d,3d an d 7 d after intervention was observed,and the sleep quality of the two groups before and after intervention was analyzed.Results The analgesic time,wound swelling re⁃lief time,wound healing time and hospital stay of the study group were less than those of the control group,the differences were significant(P<0.05).Before intervention,there was no significant difference in pain degree between the two groups(P>0ư05).At 1 d,3 d and 7 d after intervention,the pain degree of the study group was lower than that of the control group,the difference was significant(P<0.05).The self-care ability,dressing pain,incision pain,urinary retention,defecation diffi⁃culty and fecal incontinence scores of the study group were higher than those of the control group,and the differences were signif⁃icant(P<0.05).The levels of EGF and VEGF in the study group were significantly higher than those in the control group(P<0.05).Before intervention,there was no significant difference in sleep quality scores between the two groups(P>0.05).After the intervention,the sleep quality score of the study group was lower than that of the control group,the difference was sig⁃nificant(P<0.05).The satisfaction of study group was higher than that of control group,the difference was significant(P<0ư05).Conclusion The innovative management mode led by traditional Chinese medicine inheritance can effectively alleviate the pain degree of postoperative patients with anorectal diseases,and promote the rehabilitation of patients,which can be promoted in clinical application.
作者
葛媚娜
施雅楠
马小玲
GE Meina;SHI Yanan;MA Xiaoling(Nantong Integrated Traditional Chinese and Western Medicine Hospital,Nantong 226000,Jiangsu,China)
出处
《实用中医内科杂志》
2024年第12期139-142,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
南通市科技计划指导项目(MSZ21054)。
关键词
以中医传承为主导的创新管理模式
肛肠疾病术后
疼痛程度
舒适程度
满意度情况
Innovative management mode dominated by TCM inheritance
Postoperative anorectal diseases
Degree of pain
Comfort level
Satisfaction situation
