The Influence Factors Observation and Countermeasures Discussion for Postoperative Pain with Anorectal Diseases under Lumbar Anesthesia

Objective To analyze the influencing factors for postoperative pain degree of patients with anorectal diseases, in order to guide the nursing intervention time and measures, manage the patients' pain and get comfortable nursing effect. Methods Postoperative pain of 192 surgery patients with anorectal diseases in 1 h, 4 h, 8 h, 24 h, and 48 h were assessed by using numeric pain rating scale to find out the degree of postoperative pain and the related influencing factors. Results 72.73 % of the mixed hemorrhoid patients with postoperative pain after 8 h were graded in 3 points, and 27.27 % for 4 points, while 85.7 % and 97.4 % of the patients after 24 h and 48 h were graded for 4 points respectively. 78.95 % of the anal fistula patients with postoperative pain after 8h were graded in 3 points, and 21.05 % for 4 points, while 97.37 % and 100 % of the patients after 24 h and 48 h were graded for 4 points respectively. Statistical significance was found between postoperative pain degree for mixed hemorrhoid patients and their ages and operation methods. Conclusion Postoperative pain with anorectal diseases under lumbar anesthesia begins after 8 h, and 91.5 % of the patients scores 4 points or more after 24 h, while 98.7 % after 48 h. The results show that the postoperative pain degree of patients with mixed hemorrhoid is closely related to the operation methods and their ages. Therefore, medical people should give the patients pain intervention and pain management according to the postoperative pain assessment based on their surgery operation methods and their ages for postoperative patients with anorectal diseases, in order to alleviate their pain and improve their recovery.