What are the psychological preparations for anal surgery?

Anal surgery is becoming more and more common. For patients who need surgery, no matter how big or small the surgery is, they will have nervousness, anxiety and fear. When patients feel nervous, anxious and afraid, it will affect the nervous system, leading to sympathetic nerve excitation, increasing the secretion of adrenaline and norepinephrine, causing elevated blood pressure and accelerated heart rate. Some patients have cold limbs, shivering, pale face and other manifestations after entering into the operating room, and they are unusually sensitive to the surgical environment and the words of the medical and nursing staff. Therefore, it is very important for doctors to help patients adjust their psychological state, which is very beneficial to the successful completion of surgery and postoperative rehabilitation, and is an indispensable part of the whole surgical activities. 1, the patient’s preoperative psychological adjustment Due to the special characteristics of the anorectal department, the patient is afraid of surgical pain, and the second is worried about the recovery of postoperative anal function. To address this feature, you can communicate with the doctor in advance to inform the opinions and requirements. At the same time, the doctor should give a detailed account of the condition to the patient and his family, explaining the general situation of the operation in a kind language and the possible discomfort during the operation in an appropriate language. For example, when ligation of internal hemorrhoids, some patients have a feeling of falling, as if the large intestine is going to fall out of the anus. At that time to have thought preparation, the patient can be feasible deep whistle, try to relax, can reduce the discomfort. When communicating with the patients during the operation, we should pay attention to the language expression, use more body language to communicate, try to minimize and reduce the sound of the surgical instruments, and let the patients see the cut tissues as appropriate. 2, the patient’s postoperative psychological regulation When the operation is over, the patient is most eager to know the real situation of their own surgery and the effect of surgery. Therefore, the postoperative psychological regulation of patients is the key to promote and ensure the smooth recovery of patients after surgery, the following points should be done: (1) postoperative information For the psychological characteristics of patients, medical staff should take the initiative to do a good job of introducing and explaining the work of patiently listening to the patient’s questions, serious encouragement, support, and stabilize their emotions, and to relieve their anxiety and boredom of the mind. When the patient returns to the ward, doctors and nurses should comfort and encourage the patient with kind words, briefly explaining that the operation went well, so as to avoid excessive pain and anxiety after the operation, and tell the patient that as long as he cooperates with the treatment, he will be able to regain his health. (2) Postoperative urinary retention Urinary retention is a common complication of postoperative anorectal surgery, which requires proper encouragement and guidance to the patient. Hot compresses on the abdomen, listening to the sound of running water, acupoint stimulation, etc., make the patient urinate smoothly and reduce the pain. (3) Post-operative pain Post-operative pain of patients in the Department of Anorectal Surgery is not only related to the surgical site, incision method and the proper application of sedation, but also to each individual’s ability to tolerate pain and response to pain is different. Patients who are hyperfocused and emotionally overstimulated can exacerbate pain. Therefore, for different patients can use continuous analgesia or temporary drugs to relieve the patient’s pain , empathy and understanding of the patient’s mood, from each specific link to reduce the patient’s pain. Another example is that hints can reduce pain, and listening to his favorite music can also reduce pain. (4) postoperative defecation anal patients after surgery every day to defecate, sit in the bath, change the medicine. Due to the fear of pain, a considerable number of patients do not dare to defecate, limit dietary intake, greatly affecting the recovery of the disease. At the same time, it also invariably increases the patient’s pain. Therefore, doctors should encourage patients to eat properly, eat more easily digestible food, more tofu, fruit juice, vegetable soup food, to maintain smooth defecation. Patients can also be instructed to take glycerin 60ml enema in the morning for a week to reduce pain and keep the bowel movement unobstructed. (5) Adjustment of mindset After the postoperative patients calm down, generally depressed mood, depressed mood, the main manifestation is unwilling to talk, unwilling to activities, easy to irritability, loss of appetite and poor sleep, irregular bowel movements. This psychological state of the patient, if not adjusted in time, will affect the patient’s postoperative recovery. Therefore, doctors and their family members should try to help patients to solve the depression, to accurately understand the patient’s personality, temperament and psychological characteristics. Language is an important communication tool for human beings, and the findings of modern medicine and behavioral science show that human body and mind interact with each other. Therefore, we need to care for and consider them with passion, pay attention to the details of care, so that they realize that since they have successfully passed the surgery, we should strive for an early recovery of health. Most patients have to go through a long recovery process after surgery. And every day to pass the pain this hurdle. No matter how strong-willed people, and then optimistic and open-minded patients also want to get people’s comfort and encouragement, and the comfort and encouragement of the medical staff is the most direct and effective spiritual treatment, very conducive to the early recovery of patients.