Purpose. The aim of the study is to explore the impact of perioperative pain care management on patients’ pain, comfort, and defecation in anorectal surgery. Methods. From January to December 2021, 126 patients who underwent anorectal surgery in our department were selected for the study and were randomly divided into a study group and a control group of 63 patients each after consent was obtained from the patients. The control group was given the usual care protocol and the study group was given the perioperative pain care management on top of the usual care. The two groups of patients were compared in terms of postoperative anal pain rating, comfort score, time to first bowel movement and time spent in bowel movement, the Pittsburgh sleep quality index (PSQI) scores at night, related complications, and satisfaction with care. Results. ① Postoperative anal pain was less severe in the study group than in the control group (). ② Postoperative comfort scores were higher in the study group than in the control group (). ③ The time to first bowel movement and its duration after surgery were shorter in the study group than in the control group (). ④ Patients in the study group had lower postoperative night-time PSQI scores than the control group (). ⑤ Patients in the study group had a lower rate of postoperative complications than the control group (). ⑥ Patients in the study group had higher postoperative care satisfaction scores than the control group (). Conclusion. The application of perioperative pain care management to patients undergoing anorectal surgery plays an important role in reducing anal pain, improving treatment comfort, and relieving difficult defecation symptoms, with significant improvement in postoperative sleep quality and reduction in complications. It is worthy of clinical reference and promotion.

中文翻译：

---

围手术期疼痛护理管理对肛肠手术患者疼痛、舒适度和排便影响的研究

目的。本研究旨在探讨围手术期疼痛护理管理对肛肠手术患者疼痛、舒适度和排便的影响。方法. 选取2021年1月至2021年12月在我科接受肛肠手术的患者126例进行研究，征得患者同意后随机分为研究组和对照组各63例。对照组给予常规护理方案，研究组在常规护理的基础上给予围手术期疼痛护理管理。比较两组患者术后肛门疼痛评分、舒适度评分、首次排便时间及排便时间、夜间匹兹堡睡眠质量指数（PSQI）评分、相关并发症及护理满意度。结果。① 研究组术后肛门疼痛较对照组轻（）。② 研究组术后舒适度评分高于对照组（）。③ 研究组首次排便时间及术后持续时间均短于对照组（）。④研究组患者术后夜间PSQI评分低于对照组（）。⑤研究组患者术后并发症发生率低于对照组（）。⑥ 研究组患者术后护理满意度评分高于对照组（）。 结论。围手术期疼痛护理管理在肛肠手术患者中的应用，对于减轻肛门疼痛、提高治疗舒适度、缓解排便困难症状具有重要作用，术后睡眠质量明显改善，并发症减少。值得临床借鉴和推广。