Effect of postoperative evidence-based care in patients with perianal abscess
肛周脓肿患者术后循证护理的效果观察

摘要

目的 观察分析对肛周脓肿术后患者实施循证护理的临床效果和应用价值。方法 选择院内就诊的60例肛周脓肿术后患者（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以随机数字为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，循证护理。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（循证护理）肉芽生长评分更高，创面水肿评分、创面疼痛评分更低，创面愈合时间更短，生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能/总体健康）更高，负性情绪评分（焦虑/抑郁）更低，护理满意度评分更高，差异具有统计学意义（P<0.05）。结论 循证护理可以有效减少肛周脓肿术后患者疼痛程度，促进创口恢复，有助于提升生活质量，减少负性情绪，缩短恢复所需时间，提高护理满意度，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of evidence-based nursing in patients with perianal abscess after surgery.
Methods A total of 60 patients with perianal abscess who were treated in the hospital after surgery were selected (sample number: 60 cases; Sample inclusion period: May 2023 to May 2024), based on random numbers, divided into two groups: control and experiment, and the number of observed cases was highly consistent. Routine care and evidence-based care are implemented separately. Collect and analyze the effect of care.
Results Compared with the control group (usual care), the experimental group (evidence-based nursing) had higher granulation growth scores, lower wound edema scores, lower wound pain scores, shorter wound healing time, higher quality of life scores (role function/emotional function/cognitive function/social function/physical function/general health), lower negative mood scores (anxiety/depression), higher nursing satisfaction scores, and statistically significant differences (P<0.05）.
Conclusion   Evidence-based nursing can effectively reduce the pain level of patients with perianal abscess after surgery, promote wound recovery, help improve the quality of life, reduce negative emotions, shorten the recovery time, improve nursing satisfaction, and has high application value.