| Abstract |
Objective To evaluate the application effect of continuous nursing programs in reducing the recurrence risk and improving the quality of life of patients after anal fistula surgery. Methods A total of 100 patients who underwent anal fistula resection in the Anorectal surgery department of our hospital from January 2023 to January 2025 were selected and divided into the control group (n=50) and the observation group (n=50) by random number table method. The control group received routine postoperative care for anorectal diseases, while the observation group adopted a continuous nursing plan, which specifically included systematic discharge guidance, periodic regular follow-up, remote health management and targeted psychological intervention. Results The recurrence rate of the observation group 6 months after the operation was 4.0%, significantly lower than 16.0% of the control group. The assessment results of the SF-36 scale showed that the scores of the observation group in the eight dimensions of physical function (PF), physical role (RP), physical pain (BP), general health (GH), vitality (VT), social function (SF), emotional role (RE), and mental health (MH) were significantly higher than those of the control group (p<0.05). In terms of nursing compliance, the compliance rates of patients in the observation group in dimensions such as wound care, standardized medication use, regular follow-up visits, diet control, and lifestyle adjustment were significantly better than those in the control group (p<0.01). Conclusion A systematic and multi-dimensional continuous nursing program can effectively reduce the risk of recurrence after anal fistula surgery and comprehensively improve the postoperative quality of life of patients. This program significantly enhances patients' self-health management ability by achieving seamless connection from in-hospital treatment to family rehabilitation, and has important clinical application value.
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