This study aims to investigate whether the dynamic pain assessment and management system can alleviate postoperative pain in patients with incarcerated mixed hemorrhoids and reduce the incidence of complications. A total of 64 eligible patients were enrolled and randomly divided into two groups, with the specific grouping and intervention methods as follows:
① Control Group: Routine drug analgesia and conventional nursing education were adopted.
② Study Group: Patients were managed with the dynamic pain assessment and management system, which included preoperative administration of analgesic drugs, postoperative traditional Chinese medicine (TCM) fumigation, wrist-ankle acupuncture for pain relief, and personalized nursing education.
The study evaluated the effect of the dynamic pain assessment and management system on postoperative analgesia by comparing the Numerical Rating Scale (NRS) scores for pain, recording the Visual Analogue Scale (VAS) scores for quality of life, and analyzing the incidence of complications among patients in different groups. The primary hypothesis of the study is that, compared with routine pain management methods, the dynamic pain assessment and management system can significantly reduce postoperative pain in patients, improve their quality of life, and decrease the incidence of complications (such as bleeding and urinary retention).
Aged between 18 and 75 years old
Diagnosed with grade III-IV incarcerated mixed hemorrhoids according to the Goligher classification
Undergoing standard hemorrhoidectomy
Receiving simple intraspinal anesthesia
Pregnant or lactating patients
Patients receiving immunotherapy or with coagulation dysfunction
Patients who need to use various analgesic drugs daily
Complicated with other anorectal diseases (such as perianal abscess, anal fistula, anal incontinence)
Parallel
Dynamic Pain Assessment and Management System
Other interventionPersonalized nursing education was adopted. These measures include the use of preoperative analgesic drugs, postoperative Traditional Chinese Medicine (TCM) fumigation, and wrist-ankle acupuncture for pain relief.
Routine drug analgesia
Drugadopted routine drug analgesia and conventional nursing education
Pain Numerical Rating Scale (NRS)
The NRS uses a linear numerical range of "0 to 10" to represent pain intensity. Patients select the corresponding number based on their own perception, where a score of 0 indicates no pain at all, and a score of 10 represents the most severe pain you can imagine.
Incidence Rate of Complications
Measurements include the incidence rate of complications such as postoperative hemorrhage and urinary retention
Length of Hospital Stay
with hours as the unit, and standardized discharge criteria are adopted.
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