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复杂性肛瘘手术治疗患者采用5S护理模式的护理体会

作者:郭蕊馨

所属单位:河南省第二人民医院外三科 (河南 新郑 451191)

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摘要

目的 分享复杂性肛瘘手术治疗患者采用5S护理模式的护理体会。方法 将2013年4月-2016年1月在我院行复杂性肛 瘘手术治疗的74例患者按就诊顺序分为观察组(n=37)与对照组(n=37),观察组护理模式为5S护理,对照组按常规肛 瘘手术护理,比较两种不同护理方案的护理体会。结果 观察组患者住院时间、创口愈合时间、住院患者体验量表 (IPEQ)评分、焦虑抑制自评量表评分均显著低于对照组;且观察组住院期间不良反应总发生率(8.10%)低于对照组 (27.00%),对比差异均有统计学意义(P<0.05)。结论 复杂性肛瘘手术治疗患者采用5S护理模式不仅能提高患者住 院体验,还能减少焦虑、抑郁等不良反应对术后恢复的应激作用,利于患者术后恢复。

Objective To share the nursing experience of 5S nursing mode for patients after complex anal fistula operation. Methods From Apr. 2013 to Jan. 2016, a total of 74 patients accepted complex anal fistula operation in our hospital were taken as the research objects, and they were divided into observation group (n=37) and control group (n=37) according to their visiting orders. The observation group was given 5S nursing mode, and the control group was given routine nursing for anal fistula operation. The nursing experiences of two different nursing modes were compared. Results The hospitalization time, wound healing time, inpatient experience questionnaire (IPEQ) score, self rating anxiety and depression scale scores in the observation group were significantly lower than those in the control group; the adverse reaction rate in the observation group during hospitalization was 8.10% which was lower than that in the control group 27%, the differences between the two groups were statistically significant (P<0.05). Conclusion 5S nursing mode which is beneficial to the recovery of postoperative patients with complex anal fistula operation, can not only improve patients' experience in hospital, but also reduce the stress effects of anxiety, depression and other adverse reactions.

【关键词】复杂性肛瘘手术;5S护理模式;护理体会

【中图分类号】R657.1+6

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.01.023

前言

复杂性肛瘘患者往往经历多次手术,不仅多重生 理创伤,且该病具周期性发作特征,常伴流脓、瘙 痒、排便困难、身体消瘦等症状,因病变区域解剖结 构较为特殊,术后剧烈疼痛、感染、失禁等现象也使 护理难度加大[1]。“5S护理模式”则是基于“以人为 本”思想所衍生而来的人性化护理理念,该模式涵盖 服务行为、服务流程、服务语言、服务环境及服务品 牌等五个内容,而我院自2013年采用“5S护理模式” 进行护理改良并应用于复杂性肛瘘手术患者后,取得 较满意的护理效果,现将护理体会分析如下。