个体化健康护理在肛肠外科中的应用效果观察

目的：探讨个体化健康护理在肛肠外科中的应用效果。方法102例肛肠外科手术患者随机分为观察组和对照组各51例，观察组给予个体化的健康护理，对照组给予常规护理。比较两组患者术后并发症的发生情况、健康知识掌握情况、自我管理能力及心理状态。结果观察组相关知识得分（19.4±6.1）及自我管理能力得分（24.7±4.5）均显著高于对照组（13.5±5.7）和（17.3±4.2）]（P〈0.05），观察组抑郁得分（34.5±7.8）、焦虑得分（33.1±7.2）显著低于对照组（47.4±8.7）和（45.7±9.2）]（P〈0.05）。对照组术后排尿困难10例，排便困难5例，发生率29.4%（15/51）；观察组术后排尿困难发生4例，排便困难2例，发生率11.8%（6/51），两组比较差异有统计学意义（χ^2=13.2，P=0.02）。结论个体化健康护理能有效提高患者相关知识的掌握程度及自我管理能力，缓解患者的不良情绪，有利于并发症的防治。

Application effect of individualized health care in the anorectal surgery

Objective To investigate the applications effect of individual health care in anorectal surgery. Methods 102 cases of anorectal surgery patients were randomly divided into observation group and control group,51 cases per group. Observation group received individualized health care, the control group received routine care. Compared the incidence of postoperative complica-tions, health knowledge, the self-management skills and mental state.Results The related knowledge scores （19.4±6.1） and self-management skills scores（24.7±4.5） of observation group were significantly higher than the control group（13.5±5.7）and（17.3±4.2] （P〈0.05）, and the depression and anxiety scores （34.5±7.8）and （33.1±7.2）] of observation group was significantly lower than the control group（47.4±8.7）and （45.7±9.2）] （P〈0.05）. The dysuria and bowel problems of the control group were 10 cases and five cases respectively, the occurrence rate was 29.4% （15/51）; while those of control group were 4 cases and 2 cases respectively, the occurrence rate was11.8%（6/51）. And the difference was statistically significant （χ^2=13.2, P=0.02）. Conclusion Individualized health care can improve the mastery of self-management skills and knowledge of the patient, ease the patient＆#39;s negative emotions and have contributed to the prevention of complications.