快速康复外科理念在断指再植患者中的应用及其影响

Application of rapid rehabilitation surgery concept in patients with replantation of severed fingers and its influence

目的探究快速康复外科理念在断指再植患者中应用及其影响。方法 80例断指再植患者,按照病例号的奇偶性分为对照组和实验组,每组40例。实验组采用快速康复外科理念进行护理干预,对照组采用常规护理干预。比较两组患者的断指恢复效果、并发症发生情况、日常生活能力量表(ADL)评分、护理满意评分及视觉模拟评分法(VAS)评分。结果干预后,实验组患者的断指恢复优良率为95.00%,明显高于对照组的77.50%,差异有统计学意义(χ2=5.16, P=0.02<0.05)。实验组的并发症发生率为2.50%(1/40),明显低于对照组的25.00%(10/40),差异有统计学意义(χ2=8.54, P=0.00<0.05)。实验组患者的ADL及护理满意评分分别为(72.36±4.36)、(9.26±0.21)分,均明显高于对照组的(65.23±4.12)、(8.23±0.55)分, VAS评分为(2.32±0.26)分,明显低于对照组的(3.69±0.76)分,差异均有统计学意义(t=7.52、11.07、10.79, P<0.05)。结论对断指再植患者采用快速康复外科理念进行干预,可提升患者满意度,改善断指恢复情况,提高ADL评分,减少并发症的发生,降低VAS评分,值得临床推广应用。

Objective To investigate the application of rapid rehabilitation surgery concept in patients with replantation of severed fingers and its influence. Methods A total of 80 patients with replantation of severed fingers were divided by parity of case number into control group and experimental group, with 40 cases in each group. The experimental group received rapid rehabilitation surgery concept for nursing intervention, and the control group received conventional nursing intervention. Comparison were made on recovery effect of severed fingers, complications, activity of daily life scale(ADL) score, nursing satisfaction score and visual analogue scale(VAS) score between the two groups. Results After intervention, the experimental group had obviously higher excellent recovery rate of severed finger as 95.00% than 77.50% in the control group, and the difference was statistically significant(χ2=5.16, P=0.02<0.05). The experimental group had obviously lower incidence of complications as 2.50%(1/40) than 25.00%(10/40) in the control group, and the difference was statistically significant(χ2=8.54, P=0.00<0.05). The experimental group had obviously higher ADL and nursing satisfaction score respectively as(72.36±4.36) and(9.26±0.21)points than(65.23±4.12) and(8.23±0.55) points in the control group, and obviously lower VAS score as(2.32±0.26) points than(3.69±0.76) points in the control group. Their difference was statistically significant(t=7.52, 11.07, 10.79, P<0.05). Conclusion Intervention with rapid rehabilitation surgery concept for patients with replanted fingers can improve patient satisfaction, improve the recovery of severed fingers, improve ADL score, reduce the incidence of complications, and lower VAS score. It is worthy of clinical promotion and application.