预见性护理在VSD引流配合转移性皮瓣修复足部外伤性皮肤缺损中的应用

Application of predictive nursing in patients with traumatic foot skin defect treated by transfer flap transplantation combined with vacuum sealing drainage

目的探讨预见性护理在VSD引流配合转移性皮瓣修复足部外伤性皮肤缺损中的效果。方法回顾性分析36例患者的临床资料,依据患者的性别、年龄、损伤部位与面积、手术方式及护理措施进行匹配分组,常规护理组及预见性护理组各18例,比较两组患者在皮瓣成活率、平均住院时间、护理满意度方面的差别。结果预见性护理组18例患者皮瓣移植均一次性成功(皮瓣成活率为100%),常规护理组18例患者中2例发生部分皮瓣坏死(皮瓣成活率为88.9%),二者的皮瓣存活率比较差异无统计学意义(P>0.05);预见性护理组患者平均住院时间[(27.3±5.4)d]低于常规护理组[(31.5±8.2)d],差异有统计学意义(P<0.05);预见性护理组患者满意度评分[(4.6±0.6)分]高于常规护理组[(3.8±1.2)分],差异有统计学意义(P<0.05)。结论预见性护理能缩短VSD引流配合转移性皮瓣修复足部外伤性皮肤缺损患者的住院时间,提高其护理满意度,值得临床推广。

Objective To discuss the effects of predictive nursing in transfer flap transplantation combined with vacuum sealing drainage（VSD） for treatment of traumatic foot skin defect. Methods Thirty-six patients were paired into two groups according to gender, age, injury location and area, surgical methods and nursing measures： group1（18 cases, received predictive nursing） and group 2（18 cases, received routine nursing）. The flap survival rates, average length of hospital stay, nursing satisfaction degree were compared between the two groups. Results The flap survival rate was 100% in the group 1 and 88.9% in the group 2, showing no statistically significant difference（P〉0.05）.Compared with the group 2, the average length of hospital stay in group 1 was decreased [（27.3±5.4） d vs（31.5±8.2） d],and the nursing satisfaction degree score in group 1 was increased [（4.6±0.6） vs（3.8±1.2）], with statistically significant difference（P〈0.05）. Conclusion For the patients of traumatic foot skin defect treated with transfer flap transplantation combined with VSD, predictive nursing can reduce the length of hospital stay and improve the nursing satisfaction degree, which is worthy of clinical promotion.