OBJECTIVE:This study aimed to investigate the effectiveness of the joint application of the compassionate care framework (CCF) and a quality control (QC) team in improving the quality of postoperative nursing management for patients in anorectal surgery. METHODS:Patients who underwent anorectal surgery at the China-Japan Friendship Hospital between May 2022 and December 2022 were selected by convenience sampling. A digital random generator was used for random grouping. The odd numbers entered the control group (n = 53) and the even numbers entered the study group (n = 53). The control group received postoperative traditional nursing, and the study group received postoperative nursing and QC team management. A questionnaire survey was used to analyse patients' satisfaction with nursing. The two groups were compared for nursing quality scores, patient satisfaction with nursing care and incidence of complications. RESULTS:After management, compared with the control group, the study group scored significantly higher for the nursing process, environmental management, emergency response and safety protection (p < 0.05 for all). The study group also exhibited higher satisfaction scores with the nursing process, nurse-patient relationship and service attitude compared with the control group (p < 0.05 for all). The complication incidence rate in the study group was significantly lower than in the control group (p < 0.05). CONCLUSION:The combined use of the CCF and a QC team can effectively improve the quality of postoperative nursing management for patients in anorectal surgery, reduce the incidence of complications and enhance patient satisfaction with nursing care, thus holding significant potential for wider application.

肛肠疾病手术部位特殊,需要充分保护患者隐私部位,这涉及到患者的自尊和人格尊严[1].传统病号服存在术后穿脱不便、无法有效保护患者隐私、忽略患者心理需求等缺点.中日友好医院国际部肛肠病区成立后,对患者进行相关调研并设计的这款病号服,既能满足医疗及护理需求,又能保护患者隐私,获得了较高的医护和患者满意度,现报道如下.

Objective: To explore the effect of traditional Chinese medicine (TCM) nursing on relieving postoperative pain in patients with anorectal diseases.Method: Three English and three Chinese databases (PubMed, Embase, the Cochrane Library, the China National Knowledge Internet, Wanfang Data and the China Science and Technology Journal Database) were systematically searched for case-controlled or prospective studies evaluating the impact of TCM nursing on postoperative pain in patients with anorectal diseases from the date of library construction until June 20, 2022. The Newcastle-Ottawa Scale was adopted to evaluate the quality of the observational studies. The effect of TCM care on pain based on the Visual Analogue Scale (VAS), the effective pain relief rate, the wound healing time and the length of hospital stay were systematically analysed.Result: After a systematic search and screening, a total of 15 documents were included in this study. The systematic evaluation showed that TCM care reduced the VAS score (mean difference (MD): 1.15(95 % Confidence Interval (CI): 1.96, -1.06; P < 0.00001) compared with conventional postoperative care methods. As TCM nursing time increased, there was a trend towards decreased VAS scores. Furthermore, TCM care was effective in providing pain relief (OR: 4.78; 95 % CI: 2.93,7.79; P < 0.00001) and reducing wound healing time (MD: 4.44; 95 % CI: 5.60, -3.27; P < 0.00001) and length of hospital stay (MD: 4.87; 95 % CI: 5.93, -3.82; P < 0.00001). Conclusion: Traditional Chinese medicine nursing has a positive effect on the postoperative clinical results of patients with anorectal diseases, especially in relieving postoperative pain. The effect of traditional Chinese medicine nursing in relieving short-term postoperative pain in patients with anorectal diseases is obvious. However, there is no uniform standard for TCM nursing projects, which may lead to heterogeneity.

克罗恩病(Crohn's disease,CD)是一种病因及发病机制尚不清楚的慢性非特异性肠道炎性疾病,近年来在我国的发病率明显上升.25％～80％的成人克罗恩病患者合并肛周病变,其中克罗恩病肛瘘(perianal fistulizing Crohn's disease,pfCD)的患病率最高,约占 17％～43％[1,2].约10％克罗恩病患者以肛瘘为首发表现.2022年8月我科收治了1例克罗恩病合并肛瘘患者,经治疗和护理取得了满意效果,现将护理体会报告如下.

目的 探讨全程护理模式对结核性胸膜炎患者护理质量的影响.方法 选择本院2016年6月—2018年1月收治的126例结核性胸膜炎患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组各63例.两组患者均给予一般治疗、胸腔穿刺抽液和抗结核药物治疗,对照组采取传统护理模式,观察组采取全程护理模式.记录两组一次性穿刺成功率、穿刺后不良反应发生率、胸腔积液抽取量及胸腔积液消失时间、住院时间;随访6个月,比较两组治疗前及末次随访时胸膜厚度的变化情况及患者的遵医行为.结果 观察组一次性穿刺成功率(92.06％)高于对照组(69.84％),穿刺后不良反应发生率(9.52％)低于对照组(26.98％),差异均有统计学意义(P<0.05);观察组胸腔积液抽取量多于对照组,胸腔积液消失时间、住院时间均短于对照组,末次随访时胸膜厚度明显小于对照组,差异均有统计学意义(P<0.01);观察组遵医服药、合理饮食、坚持功能锻炼、定期复诊和配合随访的比例均高于对照组,差异有统计学意义(P<0.05).结论 全程护理模式能改善结核性胸膜炎患者的遵医行为,对于提高胸腔抽液效果、促进病情康复和减小胸膜厚度具有积极作用.

目的 通过实施反馈式呼吸电刺激训练即新呼吸训练方法 ,观察COPD患者接受新呼吸训练方法后在呼吸困难、运动耐力及生活质量方面的变化.方法应用随机对照研究,选取2015年1月—2017年1月在我院门诊体检中心确定为稳定的慢性阻塞性肺疾病患者51例作为研究对象,运用数字随机法分为26例对照组和25例观察组.对两组患者均实施呼吸训练,常规的内科呼吸治疗护理运用于对照组,在此基础之上结合为期12周反馈式呼吸电刺激训练护理运用于观察组,比较两组患者实施呼吸训练后其运动能力的变化情况,及患者生活质量及满意度情况.结果 在实施反馈式呼吸电刺激训练护理后,观察组COPD患者在肺通气功能改善、日常呼吸困难(MRC)改善、运动耐力(6-MWD)改善、护理满意度提高、生活质量提高这些方面明显优于对照组,且差异存在统计学意义(均P<0.05).结论 反馈式呼吸电刺激训练护理方法可以显著改善COPD患者肺通气功能、日常呼吸困难、运动耐力、生活质量,进而提高患者对于护理的满意度,具有较强的实用性,值得临床推荐.