肛周脓肿合并糖尿病46例围手术期护理满意度评价

黄慧君

[摘要] 目的 探究肛周脓肿并糖尿病患者围术期护理干预的价值。方法 将2018年1月—2019年10月46例肛周脓肿并糖尿病患者，通过单双号编号法，进行随机分组，其中对照组患者，在围手术期，给予其常规护理，而实验组患者，则在围术期，实施综合护理，分析两组肛周脓肿并糖尿病患者，其术后各项指标、并发症发生情况以及患者的护理满意的差异性。结果 实验组肛周脓肿并糖尿病患者术后VAS疼痛评分、空腹血糖、愈合时间、住院时间均低于对照组（P<0.05）;实验组患者并发症发生率，相比较对照组，更低（P<0.05）;实验组护理总满意率为95.65%，高于对照组护理总满意率69.57%，差异有统计学意义（P<0.05）。结论 肛周脓肿并糖尿病患者接受有效围术期护理，可增加其对护理服务的满意度，减少并发症的发生率，促进其预后的改善。

[关键词] 肛周脓肿;糖尿病;护理;围手术期

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0156-03

Evaluation of Perioperative Nursing Satisfaction in 46 Patients with Perianal Abscess and Diabetes

HUANG Hui-jun

Department of Anorectal Diseases， Zhangzhou Hospital of Traditional Chinese Medicine， Zhangzhou， Fujian Province， 363000 China

[Abstract] Objective To explore the value of perioperative nursing intervention for patients with perianal abscess and diabetes. Methods From January 2018 to October 2019， 46 patients with perianal abscess and diabetes were randomly divided into groups according to the single and double numbering method. Among the patients in the control group， they were given routine care during the perioperative period， while the patients in the experimental group were given routine care. During the perioperative period， comprehensive nursing was performed to analyze the differences in postoperative indicators， complications， and patient satisfaction between the 2 groups of patients with perianal abscess and diabetes. Results The postoperative VAS pain score， fasting blood glucose， healing time， and hospital stay of patients with perianal abscess and diabetes in the experimental group were lower than those in the control group （P<0.05）. Compared with the control group， the incidence of complications in the experimental group was more significant lower （P<0.05）; the total satisfaction rate of nursing in the experimental group was 95.65%， which was higher than the total satisfaction rate of nursing in the control group by 69.57%， and the difference was statistically significant （P<0.05）. Conclusion Patients with perianal abscess and diabetic patients receiving effective perioperative nursing can increase their satisfaction with nursing services， reduce the incidence of complications， and improve their prognosis.

[Key words] Perianal abscess; Diabetes; Nursing; Perioperative period

肛周膿肿有着较高的发生率，主要是肛窦炎、肛腺感染等引起，患者内外括约肌之间，出现脓肿，且随着患者疾病的进展，疾病会沿着其直肠纵肌蔓延，临床需要为患者实施积极有效的治疗，避免扩散至周围[1-2]。肛周脓肿并糖尿病患者，其糖代谢紊乱，机体免疫功能水平降低，患者经有效治疗后，仍然存在较高的复发率，预后并不理想。因此，治疗中，强化患者的围手术期相关护理干预，有着一定的意义[3]。为探究肛周脓肿并糖尿病患者围术期护理干预的价值，该研究以2018年1月—2019年10月46例肛周脓肿并糖尿病患者为研究对象，分组实施常规护理以及围术期综合护理干预，对两组护理的结果分析，以此总结围术期综合护理的应用价值，现报道如下。