摘要
目的 评价手机APP的延续护理在肛周脓肿患者术后康复的应用效果.方法 选择2015年2月—2016年2月在四川大学华西医院中西医结合科住院行肛周脓肿手术患者97例,随机分为观察组（n=49）和对照组（n=48）.出院后观察组采用＂杏树林病历夹＂手机APP进行医患沟通与随访,对照组采用电话随访.比较两组患者术后肛门功能Wexner评分、伤口愈合时间及术后脓肿复发、伤口假愈合、肛瘘等并发症发生率的差异.结果 出院后1个月观察组患者肛门Wexner评分（7.51±1.60）分,伤口愈合时间（20.71±2.48） d,均低于对照组,差异有统计学意义（t值分别为7.355、15.291;P〈0.01）.观察组术后脓肿复发率2.0%、伤口假愈合发生率8.2%、肛瘘发生率16.3%,对照组分别为14.6%、27.1%、37.5%,两组比较差异有统计学意义（χ^2值分别为5.603、6.005、5.541;P〈0.05）.结论 应用手机APP对肛周脓肿患者术后进行延续护理,有利于减少并发症发生,促进肛门功能恢复.
Objective To explore the application effects of transitional care base on mobile APP for perianal abscess patients with postoperative rehabilitation. Methods A total of 97 perianal abscess patients, who were treated in the Department of Integrated Chinese and Western Medicine of West China Hospital of Sichuan University from February 2015 to February 2016, were divided into observation group （n=49） and control group （n=48） by the random number table. Patients in the control group were followed up by phone call, while patients in the observation group were given transitional care based on mobile APP with apricot trees-chart file. Wexner incontinence score, clinical recovery time and postoperative abscess recurrence rate, wound false-healing rate and the incidence of anal fistula were compared between the two groups after discharge. Results One month after discharge, the anus Wexner score of patients in observation group was （7.51±1.60） and the wound healing time was （20.71±2.48） d, which were all lower than that of the control group, and the differences were statistically significant （t=7.355,15.291; P〈 0.01）. The recurrence rate of abscess in the observation group was 2.0%, the rate of wound pseudo-healing was 8.2%, the incidence of anal fistula was 16.3%, and the control group was 14.6%, 27.1% and 37.5%, the two groups had statistically significant differences （χ^2= 5.603, 6.005, 5.541; P〈 0.05）. Conclusions Transitional care base on mobile APP can effectively reduce complications and improve anal function recovery in patients with perianal abscess patients.
作者
向珏颖
吴灵
李辉香
Xiang Jueying;Wu Ling;Li Huixiang(Department of Integrated Chinese and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China)
出处
《中华现代护理杂志》
2018年第16期1877-1880,共4页
Chinese Journal of Modern Nursing
基金
四川省卫生和计划生育委员会科研项目（17PJ355）
关键词
肛门疾病
肛周脓肿
延续护理
手机APP
Anus diseases
Perianal abscess
Transitional care
Mobile application
