预见性护理在股前外侧皮瓣修复四肢软组织缺损患者中的应用效果

Effect of predictive nursing on treatment of patients with soft tissue defect of four extremities by repair of anterior lateral thigh flap

目的探讨预见性护理在股前外侧皮瓣修复四肢软组织缺损患者中的应用效果。方法选取四肢软组织缺损患者100例,随机分为研究组和对照组各50例。对照组给予常规护理,研究组给予预见性护理。比较2组手术情况、供区并发症发生情况及护理满意度。结果 2组患者均顺利完成手术,移植皮瓣完全成活。研究组供区并发症发生率为14.0%低于对照组的42.0%;研究组总满意度为92.0%高于对照组的70.0%(P<0.05)。结论对股前外侧皮瓣修复四肢软组织缺损患者应用预见性护理能有效改善皮瓣存活状态,减少术后相关并发症的发生,改善患者预后,提高患者对护理服务的满意度。

Objective To explore the effect of predictive nursing on treatment of patients with soft tissue defect of four extremities by repair of anterior lateral thigh flap. Methods A total of100 patients with soft tissue defect of four extremities were selected and randomly divided into study group and control group,with 50 cases in each group. The control group was given routine nursing,while the study group was given predictive nursing. Surgical condition,incidence rate of complications in donor site and nursing satisfactory degree were compared between two groups. Results Patients in both group completed operations successfully,and all the transplanted flaps survived. Incidence rate of complications in donor site in the study group was 14. 0%,which was significantly lower than 42. 0% in the control group( P < 0. 05). The nursing satisfactory degree was 92. 0% in the study group,which was significantly higher than 70. 0% in the control group( P < 0. 05). Conclusion Application of predictive nursing in treatment of patients with soft tissue defect of four extremities by repair of anterior lateral thigh flap can effectively improve the survival status of the flap,reduce the incidence of postoperative complications,improve the prognosis of patients,and increase the nursing satisfactory degree.