Objective To observe the effect of need-satisfaction intervention based on the Problem-Goal-Intervention-Outcome (PGIO) nursing model on pain degree, sleep quality, and self-care ability in patients after anal fistula surgery. Methods From August 2023 to August 2025, 82 patients who underwent anal fistula surgery at the hospital were selected and divided into two groups by random number table method, with 41 cases in each group. The control group received routine nursing intervention, while the observation group received PGIO-based need satisfaction intervention in addition to routine nursing. The two groups were compared in terms of postoperative Visual Analog Scale (VAS) score for pain, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI) and Exercise of Self-Care Agency (ESCA) scores before and after intervention, length of hospital stay, and complications. Results The two groups had similar VAS scores for pain at 24 h postoperatively (P>0.05). At 48 h and 72 h postoperatively, VAS scores of the observation group were significantly lower than those of the control group at 10 min after dressing change (P<0.05). After intervention, the observation group got significantly lower SAS, SDS and PSQI scores but significantly higher ESCA scores of all dimensions and total score compared to the control group (P<0.05). The total complication rate was significantly lower and hospital stay was significantly shorter in the observation group (P<0.05). Conclusion PGIO-based need satisfaction can effectively reduce postoperative pain, improve psychological state, enhance sleep quality and self-care ability, and promote recovery in patients with anal fistula.
Key words
anal fistula /
need satisfaction /
pain /
sleep quality /
self-care ability
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