Recently, a patient asked me, do you prepare the skin before surgery?
I said that it does not affect the operation and does not do special skin preparations.
She smiled: Yes, I saw foreign introductions, skin preparation is not suitable to damage the skin, but there are many bacteria and infections.
Her husband said that after hemorrhoids, she checked the Internet every day, looked at the medical experience of a large number of patients, and learned a lot of specialist knowledge and diagnosis and treatment methods. These common sense made her increasingly nervous and anxious, approaching depression.
For our day surgery model, my husband very much agrees that foreign anorectal surgery is performed during the day, which reduces physical and psychological interference and is beneficial to postoperative recovery.
I am very touched-our patients, because they are related to themselves, to understand the degree of relevant knowledge, meticulously every step of the medical technology and process.
In modern society, the medical model has transformed from a single biological model to a pluralistic social, psychological, and biological model.
One of the reasons for the transformation of the medical model to the psychological and social model is that in the information age, people have many ways to gain common knowledge and experience in medicine. The intricate and unsystematic fragments of knowledge complicate the mental state and make themselves very involved in the occurrence and development of diseases. Strong psychological factors are becoming more and more dominant.
Psychological factors affect all common medical diseases, including diseases with obvious pathological changes, such as coronary heart disease, cancer, diabetes, and functional syndromes, such as migraine, irritable bowel syndrome, and certain symptoms such as pain, fatigue, Dizziness and so on.
In diseases, psychological factors can easily deviate to a negative state, and negative and pessimistic bad moods will definitely hinder the prognosis and good outcome of the disease.
Bad psychology and emotions, dependence, escape, anxiety, sadness, depression, denial, anger, etc., aggravate the illness, interfere with treatment, and delay recovery.
Indulge in the habit of inducing disease.
Affect the patient's response to symptoms, loss of motivation, tolerance of pain and frustration.
Disrupt the doctor-patient relationship and reduce the patient's compliance with diagnosis and treatment.
Cause pathophysiological changes, interfere with the immune system, such as weakened antibody response, reduced ability to control potential viruses, and delay wound healing.
After hemorrhoid surgery, due to the privacy of the anorectal area and the special physiological and anatomical nature, it is especially affected by psychological and emotional disturbance.
The anorectal area is rich in blood vessels and nerves, and sensitive to pain. After hemorrhoids, wound pain, wound edge edema, hematoma, inflammation, defecation and dressing irritation, sphincter spasm, scar tightness, tingling, foreign body sensation, etc. Constantly in a state of tension, with repeated mood changes.
The brain-gut axis and intestinal microecological theories confirm that the intestine is an emotional organ, controlled by emotions, environment, and diet. After hemorrhoid surgery, fear of wound pain and bleeding, fear of defecation, leads to intestinal dysfunction, defecation disorders, affects the wound, and in turn stimulates the breeding of bad mental emotions.
Wound healing after hemorrhoid surgery has a long period of blood clotting, inflammation, repair, and maturity. In the recovery period, the growth and changes of the wound may be slow, and there may be problems with wound infection and delayed wound healing, which aggravate the patient’s more unknown recovery. And uncertainty increases negative emotions.
Therefore, after hemorrhoids, bad psychology is very easy to appear and be amplified. The amplified bad psychology and emotions will correspondingly expand the perception of pain and other discomforts, aggravate postoperative discomfort, and prolong the recovery period. In severe cases, the patient suspects that he will appear. Complications, sequelae, and even anorectal neurosis.
Psychological research on surgical patients has confirmed that psychological intervention significantly reduces postoperative anxiety, loneliness, and negative emotions, and also makes the patient’s blood pressure, heart rate and other vital signs more stable, and the earlier the psychological care intervention, the longer it will take , The patient has less postoperative pain and fewer problems left after surgery.
The main method of psychological intervention is the intimate and meticulous psychological support and comfort of medical staff with specialized knowledge and experience.
Although patients understand the relevant knowledge, the knowledge gained by non-medical specialists is limited and confusing, and ambiguous cognition can promote bad emotions. Doctors must be provided for empirical and humane guidance to avoid deviations. The patient's thinking pulled back.
Medical care pays attention to psychological factors, repeatedly and patiently communicates with patients about medical conditions, conditions and treatment plans, informs the treatment cycle and possible risks, explains the operation situation, and comprehensively tracks and manages the postoperative recovery period.
Doctors help patients understand their psychology and emotions, and do not challenge or interfere with the patient's defense style. If the patient has a deep-rooted bad personality, modify the treatment plan accordingly. Explain more carefully to patients who have doubts or distrust, and provide specific, realistic, appropriate assurance and hope.
Doctors try to establish treatment alliances with patients, develop bonds of mutual trust, face the same treatment goal, and agree on tasks to be completed to achieve the goal.
Happy for the rest of my life
Each patient has different psychological endurance, different anxiety and concerns, and different expectations for surgery. There are doctors and nurses to give targeted guidance, warm psychological intervention, to avoid psychological and emotional damage treatment, and hemorrhoid surgery for patients After comfortable recovery, more protection is added, and painful memories during the recovery period of the patient can be avoided, and psychological sequelae can be avoided.
Author: Anorectal Xingyun Li doctors