＂无陪护＂整体护理对肛周深间隙脓肿根治术后患者的影响

目的 探讨＂无陪护＂整体护理模式对肛周深间隙脓肿术后患者在减轻疼痛、促进伤口愈合、降低并发症的效果.方法 将济宁医学院附属医院肛肠科2007年1月至2008年1月收治的肛周深间隙脓肿患者28例作为对照组,2008年2月至2009年2月收治的肛周深间隙脓肿患者33例设为实验组,两组患者手术方式及用药相同,对照组采用传统的护理模式,实验组采用＂无陪护＂卫生体制下系统化整体护理模式,对两组患者术后尿潴留、便秘发生率、术后排便后冲洗时疼痛积分、术后换药时疼痛积分、术后伤口愈合时间进行比较.结果 实验组各项指标均低于对照组,差异有统计学意义（P＜0.05）.结论 肛周深间隙脓肿术后采用＂无陪护＂卫生体制下系统化整体护理模式,可减轻患者痛苦、降低术后并发症、促进伤口愈合,值得临床推广运用.

Effects of holistic nursing without family caregivers on patients undergoing the radical surgery for deep perianal space abscess

Objective To explore the effects of holistic nursing without family caregivers on alleviating pain, promoting wound healing and reducing complication for patients undergoing the surgery for deep perianal space abscess. Methods 28 patients who suffered from deep perianal space abscess admitted to Anorectal Department of the Affiliated Hospital of Jining Medical College from Jan 2007 to Jan 2008 were selected as control group, while 33 patients from Feb 2008 to Feb 2009 as intervention group. The former group was given the traditional nursing, while the latter group holistic nursing without family caregivers. Both groups were administered with the same operative procedure and medicine. Incidence rate of uroschesis and constipation,pain grades during bowels flushing and changing wound dressing, and wound healing duration after the intervention were compared. Results There was significant difference between both groups on the above indicators (P ＜ 0. 05). Conclusions Holistic nursing without family caregivers could help to relieve pain,reduce postoperative complication rate and promote wound healing for patients undergoing the surgery for deep perianal space abscess; therefore it is worthy of being broadly applied in clinic.