ABSTRACT
Objective:To investigate the comfort of postoperative rectal cancer patients with indwelling anal tube and analyze the influencing factors, so as to provide a basis for the formulation of prevention and improvement measures.Methods:The subjective comfort self-report method of digital score and visual analog score was used to investigate and analyze 64 patients with indwelling anal canal in anorectal surgery.Results:The main discomfort of patients with indwelling anal tube were difficulty in sitting and getting in and out of bed, of which 43 cases (61.9%) reported moderate and severe sitting difficulty, and 30 cases (46.88%) reported moderate and severe difficulty in getting up and down the bed. The exposed length of anal canal was the influencing factor of discomfort ( Fvalues were 22.018, 18.213, P<0.01). Conclusion:Rectal cancer patients with indwelling anal tube have serious difficulties in sitting position and getting in and out of bed. Corresponding measures should be taken according to the influencing factors and effective intervention methods should be used to improve the comfort of the patients.
ABSTRACT
Objective:To compare the effects of non-woven cotton of surgical dressing and medical gauze in surgical cavity wounds.Methods:A total of 118 patients with surgical cavity wounds in Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University from March to August in 2017 were recruited and divided into two groups by random digits table method, 58 in the observation group and 60 in the control group. The wounds were filled with non-woven cotton of surgical dressing in the observation group and medical gauze was received in the control group. The wound healing, drainage, surrounding skin maceration, the amount of fluid absorption, the pieces of dressings used, residues of yarn, the time of dressing change and the costs of treatment were compared between the two groups.Results:There was no significant difference in the healing rate, surrounding skin macerations and the cost between the two groups ( P>0.05). The intervention group was superior to the control group in the following indicators: the none-residual rate of yarn in the wound were 100.0% (282/282), the median amount of liquid absorbed were 5.43 g, the median pieces of dressings used were 14.00 pieces, the median time of dressing change were 98.00 s, while those index were 70.7% (208/294), 4.29 g, 19.50 pieces, 152.00 s in the control group, compared to the control group, the observation group showed a higher none-residual rate of yarn, more liquid absorbed, less dressing used, less dressing change time in the observation group, the difference was statistically significant ( χ2 value was 96.968, Z values were 2.199, 2.364, 3.852, P<0.05 or 0.01). Conclusions:The non-woven cotton of surgical dressing has no residual yarn in the wound, more liquid absorption, less pieces of gauze, and shorten dressing change time than the medical gauze. It can be used as a kind of superior surgical drainage gauze.
