护理程序在断指再植术后围手术期的应用

Application of Care Program in Patients with Replantation of Amputate Finger

目的探讨护理程序在接受断指再植手术后围手术期病人中的应用。方法断肢再植病人64例,随机分成实验组和对照组各32例。对照组采用常规护理措施,实验组除常规护理外同时应用护理程序的五大步骤,即护理评估、护理诊断、护理计划、实施、评价。结果实验组有77.3%(17/22)病人自诉焦虑减轻;对照组47.8%(11/23)。实验组有80%(8/10)病人恐惧心理得到消除,对照组44.4%(4/9)(P<0.01)。实验组有93.8%(30/32)病人术后1w内未诉患指疼痛,对照组68.8%(22/32)。实验组术后围手术期再植体未有感染发生,对照组有18.8%(6/32)发生了感染(P<0.01)。采用护理程序后,32例再植体成活率为84.4%(27/32),而未采用护理程序组32例再植体成活率为68.9%(22/32)(P<0.01)。结论用护理程序对病人实施整体护理,发现、预防和解决了现存的和潜在的问题,提高了再植体存活率。

Objective To probe the application of care program in patients after replantation of amputate finger. Methods 64 cases of patients were divided into the experimental group and the control group randomly, every group contained 32 cases of patients. In the control group, patients were given routine nursing measures. In the experimental group, patients were given nursing according care program, that is nursing evaluation, nurse’s diagnosis, nursing care plan, practicing, evaluation. Results In the experimental group, about 77.3% (17/22) patients said they felt less anxiety, scare feeling eliminated in 80% patients (8/10), finger pain occurred in 93.8% (30/32) 1w after operation. In the control group, the numbers were only 47.8% (11/23), 44.4% (4/9) (P<0.01), 68.8% (22/32). There were no infection cases in the experimental group, and the survival rate of re-implant fingers was 84.4% (27/32). The infection rate of the control group was 18.8% (6/32), and the survival rate was 68.9% (22/32), P<0.01. Conclusions With care program, patients were given holistic nursing. Discovering, preventing and solving exist or potential problems, then the survival rate of re-implant finger can be raised.