腹部带蒂皮瓣修复手部深度烧伤患者的护理

Nursing of abdominal pedicel flap in repairing patients with deep burn in hands

目的探讨腹部带蒂皮瓣修复手部深度烧伤患者的有效护理方法。方法将60例采用腹部带蒂皮瓣修复手部深度烧伤的患者随机分为观察组和对照组,对照组采用常规护理,观察组在对照组的基础上采用综合护理,比较2组的术后康复情况及生活质量。结果 2组的创面Ⅰ期愈合率无统计学意义(P>0.05);观察组的创面愈合时间、断蒂时间及住院时间少于对照组,疼痛评分低于对照组,手功能恢复好于对照组,差异具有统计学意义(P<0.05);观察组在躯体功能、心理功能、社会功能等生活质量方面均高于对照组,差异具有统计学意义(P<0.05)。结论对腹部带蒂皮瓣修复手部深度烧伤的患者实施综合护理,能够缩短其术后康复的时间,改善生活质量和手功能。

Objective To explore the effective nursing method of abdominal pedicel flap in repairing patients with deep burn in hands. Methods A total of 60 patients with deep burn in hands repaired by abdominal pedicel flaps were randomly divided into observation group and control group, the control group was given routine nursing while the observation group was given comprehensive nursing based on the control group, postoperative rehabilitation and life quality of two groups were compared. Results There was no statistically significant difference in wound healing rate in I phase between two groups （P 〉0.05）. The healing time, pedicle division time and hospitalization time in the observation group was shorter than that in the control group, pain score was lower than that in the control group, recovery of hand function was better than that in the control group, which revealed that the differences were statistically significant （P 〈 0.05）. Life quality in physical function, psychological function, and social function in the observation group was higher than that in the control group, the difference was statistically significant （P 〈 0.05）. Conclusion The implementation of comprehensive nursing is beneficial to shorten postoperative recovery time and improve life quality as well as hand function.