强化夜间护理在预防断指再植患者术后血管危象中的应用

The application of strengthened night nursing to the prevent of vascular crisis in patients after finger replantation

目的探讨强化夜间护理在预防断指再植术后发生血管危象的作用。方法选取手外科2014年2月至2016年2月收治入院手术后的155例断指再植的患者为研究对象，其中2015年3月至2016年2月收治入院手术后的90例患者强化夜间护理，设为观察组；将2014年2月至2015年2月收治入院手术后的65例患者给予常规护理，设为对照组。比较2组断指再植的成功率、血管危象的发生率及护理满意度。结果观察组断指再植的成功率为90．00％（81／90），高于对照组的76．92％（50／65），血管危象的发生率为11．11％（10／90），低于对照组的27．69％（18／65），抢救成功为7／10，高于对照组的10／18，差异有统计学意义（）（。=4．932、7．013、4．216，均P〈0．05）。观察组的护理满意度为（94．32±3．57）分、93．33％（84／90），高于对照组的（91．22±4．48）分、83．08％（54／65），差异有统计学意义（t=4．789，X2=4．071，P〈0．05）。结论强化夜间护理能够有效预防断指再植患者术后血管危象的发生率，提高患者的护理满意度。

Objective To investigate application effect of strengthened night nursing to the prevent of vascular crisis in patients after finger replantation. Methods A total of 155 patients with finger replantation in Hand surgery from February 2014 to February 2016 were selected as research object, 90 cases from March 2015 to February 2016 with strengthened night nursing were as the observation group, 65 cases from February 2014 to February 2015 with routine nursing were as the control group. The two groups were compared of limb replantation success rate, vascular crisis rate and nursing satisfaction. Results The replantation success rate in the observation group was 90.00%（81/90） higher than 76.92%（50/65） in the control group, the occurrence of vascular crisis rate was 11.11%（10/90） lower than 27.69%（18/65） in the control group, the success rate was 7/10 higher than 10/18 in the control group, and the difference was statistically significant （~2=4.932, 7.013, 4.216, all P〈0.05）. The nursing satisfaction in the observation group was （94.32±3.57） points, 93.33%（84/90） higher than （91.22±4.48） points, 83.08%（54/65） in the control group, and the difference was statistically significant （t=4.789, X2= 4.071, P〈0.05）. Conclusions Strengthened night nursing can effectively prevent vascular crisis in patients after finger replantation, improve nursing satisfaction of patients.