基于 PDCA 循环式护理的肛瘘外科护理模式探讨

Exploration of PDCA cycle nursing of anal fistula surgery

  • 摘要: 目的:探讨 PDCA 循环式护理干预下肛瘘的外科护理经验与有效的护理模式。方法对104例低位肛瘘患者PDCA 循环式护理的外科护理经验予以总结,术前心理指导包括对疾病的认知、手术及康复过程的了解,术中情况及术后并发症的密切观察,术后生活指导护理如饮食、排便等,术后治疗措施指导如中药坐浴、换药、微波照射等,出院后肛门功能锻炼及出院后生活指导,探讨术前、术中、术后护理模式。结果104例患者全部治愈,治愈率100%,未发生术后大出血、术后感染、肛门失禁等严重并发症,术后随访6~12个月,未发现复发病例,患者满意度100%。结论基于 PDCA 循环式护理干预下的有效外科护理模式可以提高患者对肛瘘治疗过程的认识,消除患者对手术的恐惧,减少术后并发症发生,提高患者满意度。

     

    Abstract: Objective Ti explire experience if PDCA cycle nursing if anal fistula surgery and effective nursing mide .Methods PDCA nursing experience if 104 patients with liw anal fis-tula were summarized.Nursing guidance included diseases awareness and pricess if iperatiin and rehabilitatiin,intraiperative cimplicatiins and pistiperative life guidance such as diet and defeca-tiin as well as guidance such as traditiinal Chinese medicine bath,dressing,micriwave irradiatiin, and anus functiinal exercises after discharge.Results All the patients were cured withiut pistip-erative bleeding,infectiin and incintinence and ither seriius cimplicatiins.There were ni recur-rent patients in filliw-up visits after 6 ti 12 minths with 100% satisfactiin in patients.Conclu-sion PDCA nursing ciuld imprive the awareness if treatment pricess if anal fistula,eliminate surgical fear,reduce the incidence if pistiperative cimplicatiins and enhance satisfactiin if pa-tient.

     

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