Nursing strategies and practical research on post-anorectal surgery pain management
肛肠手术后疼痛管理的护理策略与实践研究

摘要

目的 探究科学规范的护理策略在肛肠手术后疼痛管理中的应用效能。方法 选取2026年1月至5月收治的120例肛肠手术患者作为研究对象，采用随机数字表法分为对照组与实验组各60例。对照组实施肛肠术后常规疼痛护理，实验组实施优化疼痛管理护理策略。对比两组患者术后不同时间点疼痛评分、康复指标及护理满意度，系统分析优化护理策略的临床应用价值。结果 术后3d、7d，实验组视觉模拟疼痛评分（VAS）显著低于对照组（t=17.892、18.365，P均=0.000）；实验组术后并发症发生率显著低于对照组（χ2=5.175，P=0.023）；实验组护理满意度显著高于对照组（χ2=6.982，P=0.008）。结论 优化疼痛管理护理策略可有效减轻肛肠手术后患者的疼痛程度，降低术后并发症发生率，加快患者康复进程，提升护理满意度，弥补常规疼痛护理的局限性，具有较高的临床实践价值，值得在肛肠手术术后护理中全面推广应用。

Abstract

Objective To evaluate the efficacy of scientifically standardized nursing strategies in post-anorectal surgery pain management.
Methods A total of 120 patients undergoing anorectal surgery from January to May 2026 were enrolled as study subjects and randomly divided into a control group and an experimental group (60 cases each) using a random number table. The control group received conventional postoperative pain care, while the experimental group received optimized pain management nursing strategies. Postoperative pain scores, recovery indicators, and nursing satisfaction were compared between the two groups at different time points, with systematic analysis conducted to assess the clinical value of the optimized strategies.
Results At 3 days and 7 days postoperatively, the visual analog pain scale (VAS) scores in the experimental group were significantly lower than those in the control group (t=17.892,18.365; P=0.000); the incidence of postoperative complications was significantly lower in the experimental group(χ2=5.175, P=0.023); and nursing satisfaction was significantly higher in the experimental group (χ2=6.982, P=0.008).
Conclusion   Optimized pain management nursing strategies effectively alleviate postoperative pain, reduce complication rates, accelerate recovery, and improve nursing satisfaction, overcoming the limitations of conventional pain care. These strategies demonstrate high clinical value and are recommended for widespread implementation in post-anorectal surgery care.