对掌指背皮神经筋膜蒂岛状皮瓣修复再植术的临床护理研究

Clinical nursing of dorsal cutaneous nerve fascial pedicle island flap replantation repairmen in treating finger skin defect

目的:研究围手术综合护理在应用掌指背皮神经筋膜蒂岛状皮瓣修复再植中的应用价值。方法:对60例手指皮肤缺损患者给予掌指背皮神经筋膜蒂岛状皮瓣修复治疗,并随机分为给予围手术期综合护理干预的观察组和常规护理干预的对照组,观察患者的自我护理能力以及手术相关指标。结果:观察组患者的健康知识得分为(47.3±9.4)分,自我概念为(21.5±5.6)分,自护责任感为(16.8±4.4)分,自我护理技能为(27.7±7.1)分及自我护理能力总评分为(113.3±21.5)分,均明显高于对照组(均P<0.05);手术时间(82.8±11.4)min,术后创面愈合时间(12.6±4.2)d,供区皮肤结痂时间(7.4±2.1)d,HAMA评分(8.8±1.4)分,HAMD评分(8.3±1.7)分,均明显低于对照组(均P<0.05)。结论:围手术期综合护理能够改善患者的自我护理能力,保证手术过程顺利进行,促进术后恢复过程,缓解负面情绪,具有积极的临床价值。

Objective ： To study the effect of perioperation comprehensive nursing of dorsal cutaneous nerve fascial pedicle island flap replantation repairmen in treating finger skin defect. Methods： Finger skin defect patients were enrolled, who were given dor