Abstract: Objective To explore the effect of bundle pain management on self-care ability and complications in patients with circular mixed hemorrhoids after external and internal ligation. Methods Eighty patients with circular mixed hemorrhoids who underwent external and internal ligation in Heze hospital of traditional chinese medicine from February 2022 to February 2024 were randomly divided into two groups, each with 40 cases. The control group received routine management, while the observation group received bundle pain management. The pain [Visual Analog Scale (VAS)], self-care ability [Self care Ability Scale (ESCA)], complications, and quality of life [Chinese version of Health Survey Brief (SF-36)] were compared between the two groups using a digital table method. Results Comparison of the VAS scores of the 2 groups before management, the difference was not statistically significant (P>0.05), after management, the VAS scores of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). Comparison of the ESCA scores of the 2 groups before management, the difference was not statistically significant (P>0.05), and after management, the scores of the ESCA dimensions of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05). The complication rate of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05). Comparison of SF-36 scores between the 2 groups before management, the difference was not statistically significant iso (P>0.05), after management, the SF-36 scores of each dimension in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion Bundled pain management can help alleviate postoperative pain in patients with circular mixed hemorrhoids, improve their self-care ability, reduce the occurrence of complications, and improve their quality of life.

Key words: circular mixed hemorrhoids, after external stripping and internal ligation surgery, bundled pain management, pain level, self care ability, complications, quality of life