预见性护理在断指再植术患者中的应用

Application of predictive nursing in patients with replantation of severed finger

目的:探讨预见性护理改善断指再植术患者血管危象的价值,并分析其对血流变的影响。方法:将50例断指再植患者随机等分为对照组和观察组。对照组给予常规护理,观察组给予预见性护理,比较两组护理效果。结果:术后7 d,观察组疼痛视觉模拟评分(VAS)、抑郁自评量表(SDS)评分、便秘及切口感染发生率均明显低于对照组,但无统计学意义;观察组血管危象发生率低于对照组,断指再植成活率优于对照组,但组间比较差异无统计学意义(P>0.05);观察组较对照组住院时间、住院费用明显减少,护理满意度评分明显升高,差异均有统计学意义(P<0.05)。结论:预见性护理在预防血管危象发生上的作用值得临床护理工作者关注。

Objective：To explore the value of predictive nursing in improving vascular crisis in patients undergoing replantation of severed fingers and analyze its effect on hemorheology.Methods：To randomly divide 50 cases patients with replantation of severed fingers into control group and observation group.The control group was given routine nursing,the observation group was given predictive nursing,and the nursing effect of the two groups was compared.Results：Seven days after operation,the pain visual analogue scale（VAS）,self-rating depression scale（SDS）,constipation and incision infection rate in the observation group were significantly lower than those in the control group,but there was not statistical significance;the incidence of vascular crisis in the observation group was lower than that in the control group,and the survival rate of replantation of severed fingers was better than that in the control group,but there was not significant difference between the two groups（P〈0.05）;and compared with the control group,the hospitalization time and hospitalization expenses of the observation group were significantly reduced,and the nursing satisfaction scores were significantly increased,the differences were statistically significant（P〈0.05）.Conclusion：The role of predictive nursing in the prevention of vascular crisis should be paid attention to by clinical nursing staff.