Study on the Clinical Implementation Effect of Dressing Change and Nursing Optimization Strategies after Hemorrhoid Surgery

目的：通过文献回顾与临床研究，对我科痔疮术后患者实施换药与护理优化策略并探讨其临床效果。方法：本研究采用随机抽样法，选取2024年1月-2025年4月入住洛川县医院外科行痔切除术的患者作为研究对象。观察组实施换药与护理优化策略，对照组实施常规实施换药与护理，对比不同干预措施的临床效果：痔疮术后患者创面愈合时间、术后1、2、4周水肿发生率及排便时疼痛评分、随访术后4周患者满意度。采用SPSS 23.0软件统计分析，计数资料描述采用频数与构成比((n) %)，两组痔疮术后患者组间比较采用χ2检验；计量资料符合正态分布采用( X ¯ ±s )或M (P25, P75)描述，两组患者组间比较采用t检验或非参数检验；不同换药与护理方案的痔疮术后患者各时间节点疼痛评分比较采用重复测量方差分析；以P P P P Objective: Through literature review and clinical research, to implement dressing change and nursing optimization strategies for patients after hemorrhoid surgery in our department and explore their clinical effects. Method: This study adopted the random sampling method and selected patients who underwent hemorrhoidectomy in the surgical department of Luochuan County Hospital from January 2024 to April 2025 as the research subjects. The observation group implemented the dressing change and nursing optimization strategy, while the control group implemented the conventional dressing change and nursing. The clinical effects of different intervention measures were compared: the wound healing time of patients after hemorrhoid surgery, the incidence of edema at 1, 2, and 4 weeks after surgery, the pain score during defecation, and the satisfaction of patients at 4 weeks after follow-up. SPSS 23.0 software was used for statistical analysis. Frequency and composition ratio ((n) %) were used for description of count data. χ2 test was used for comparison between the two groups of patients after hemorrhoid surgery. Measurement data conforming to the normal distribution were described as ( X ¯ ±s )or M (P25, P75), and t-tests or non-parametric tests were used for comparison between the two groups of patients. Repeated measures analysis of variance was used to compare the pain scores of patients after hemorrhoid surgery with different dressing changes and nursing regimens at each time point. P P P P < 0.05), and the patient satisfaction improved 3 weeks after the operation. Conclusion: The implementation of dressing change and nursing optimization strategies after hemorrhoid surgery can reduce the incidence of local edema in patients after surgery and alleviate the pain during defecation. The optimized dressing change and nursing strategies reduce local irritation through standardized debridement operations and rational application of anti-inflammatory dressings. Moreover, the analgesia program and patient education modules (such as breathing relaxation training and psychological counseling) in the optimized strategies may improve patients' pain tolerance by multi-dimensionally regulating pain perception. Combined with postoperative scientific care (such as sitz baths and diet management) and improvement of living habits to enhance the prognosis, help patients restore normal anal function and quality of life, the positive role of the optimization strategy in promoting postoperative recovery has been verified.