护理干预在手外伤急诊处理患者伤口感染控制中的应用研究

Application of Nursing Intervention in Wound Infection Control of Hand Trauma Emergency Treatment Patients

目的:探讨护理干预措施在急诊手外伤患者中的应用价值。方法:回顾性分析2020年1月—2021年1月天津市天津医院收治的84例急诊手外伤患者的病历资料,根据护理方式不同将其分为对照组和观察组,每组各42例。对照组采用常规护理,观察组在常规护理基础上采用护理干预措施。两组患者均干预2周。比较两组患者伤口感染率、负性情绪[抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分]、伤口愈合程度、患指屈伸度及护理满意度。结果:观察组伤口感染率为2.38%,低于对照组的19.05%,差异有统计学意义(χ^(2)=4.480,P=0.034)。护理前,两组患者SDS、SAS评分比较,差异无统计学意义(t=0.196、0.160,P>0.05);护理后,观察组SDS、SAS评分均较对照组低,差异有统计学意义(t=16.805、12.615,P<0.05)。观察组伤口愈合程度优于对照组,差异有统计学意义(Z=2.179,P<0.05)。观察组患指屈伸度优良率高于对照组,差异有统计学意义(χ^(2)=7.372,P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=5.126,P<0.05)。结论:护理干预措施能够提升手外伤急诊处理效果,减少伤口感染的发生,减轻患者负性情绪,有利于促进伤口愈合,提高患指屈伸度和护理满意度。

Objective:To explore the application value of nursing intervention measures in emergency patients with hand trauma.Methods:The medical records of 84 emergency hand trauma patients admitted to the hospital from January 2020 to January2021 were retrospectively analyzed,and they were divided into control group and observation group according to different nursing methods,with 42 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention on the basis of routine nursing.Both groups were intervened for 2 weeks.The wound infection rate,negative emotion(Self-rating Depression Scale[SDS]score,Self-rating Anxiety Scale[SAS]score),wound healing degree,flexion and extension of affected fingers and nursing satisfaction were compared between the two groups.Results:The wound infection rate in the observation group was 2.38%,which was lower than 19.05%in the control group,and the difference was statistically significant(χ^(2)=4.480,P=0.034).Before nursing,there was no significant difference in SDS and SAS scores between the two groups(t=0.196,0.160,P>0.05).After nursing,the SDS and SAS scores of the observation group were lower than those of the control group,and the difference was statistically significant(t=16.805,12.615,P<0.05).The degree of wound healing in the observation group was better than that in the control group,and the difference was statistically significant(Z=2.179,P<0.05).The excellent and good rate of finger flexion and extension in the observation group was higher than that in the control group,and the difference was statistically significant(χ^(2)=7.372,P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=5.126,P<0.05).Conclusion:Nursing interventions can improve the emergency treatment effect of hand trauma,reduce the occurrence of wound infection,reduce the negative emotions of patients,help to promote wound healing,and improve the flexion and extension of the affected finger and nursing satisfaction.