早期治疗与康复一体化护理模式对深Ⅱ度烧伤创面愈合效果的影响分析

The Effect of Integrated Treatment and Rehabilitation Nursing Mode on the Healing Effect of Deep Second Degree Burn Wounds

目的:探讨早期治疗与康复一体化护理模式对深Ⅱ度烧伤创面愈合效果的影响。方法:选择笔者医院2017年1月-2018年12月收治的106例深Ⅱ度烧伤患者作为研究对象,根据入院先后顺序,采用随机数字表法分为观察组和对照组,各53例。对照组沿用常规康复护理模式,观察组实施早期治疗与康复一体化护理模式。随访3个月,记录伤后14d视觉模拟评分法(Visual analogue scoring,VAS)评分、创面上皮覆盖比例和创面完全愈合时间,观察创面愈合后瘢痕增生情况,并采用温哥华瘢痕量表(Vancouver scar scale,VSS)评估瘢痕增生程度,采用简明烧伤健康量表(Burn specific health scale,BSHS-A)评估生存质量。结果:观察组伤后14d VAS评分低于对照组,创面上皮覆盖比例高于对照组,创面完全愈合时间短于对照组,差异均有统计学意义(P<0.05)。两组患者均获得随访,观察组出院时及出院3个月VSS评分均明显低于对照组,差异均有统计学意义(P<0.05)。在治疗前BSHS-A评分上两组差异无统计学意义(P>0.05)。出院时及出院3个月,观察组BSHS-A评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:实施早期治疗与康复一体化护理模式能加快深Ⅱ度烧伤创面愈合,在减轻疼痛程度、延续愈合后瘢痕增生上较常规康复护理模式具有显著优势,值得临床推广应用。

Objective To investigate the effect of integrated treatment and rehabilitation nursing mode on the healing of deep second degree burn wounds.Methods Selected 106 patients with deep second degree burn.admitted to our hospital from January 2017 to December 2018 were enrolled in the study,according to the order of admission,they were divided into the observation group and the control group by random number table,53 cases each group.The control group followed the routine rehabilitation nursing mode,the observation group implemented the integrated treatment mode of early treatment and rehabilitation.After 3 months of follow-up,visual analogue scale(VAS)score,the ratio of wound coverage and the complete healing time of the wound were recorded after 14 days of injury,observed the scar hyperplasia after wound healing,vancouver scar scale(VSS)was used to assess the degree of scar hyperplasia,and the quality of life was assessed using the burn specific health scale(BSHS-A).Results The observation group VAS score was lower than the control group at 14 days after injury,coverage of wound surface was higher than that of the control group,wound healing time was shorter than that of the control group,the differences were statistically significant(P<0.05).Both groups were followed up.The VSS scores of the observation group at discharge and 3 months after discharge were significantly lower than those of the control group(P<0.05).There was no significant difference in BSHS-A score between the two groups before treatment(P>0.05).At the time of discharge and discharge for 3 months,the observation group BSHS-A scores were significantly higher than the control group(P<0.05).Conclusion The implementation of early treatment and rehabilitation integrated care mode can accelerate the healing of deep second degree burn wounds,it has a significant advantage over conventional rehabilitation nursing mode in reducing the degree of pain and continuing scar healing after healing,worthy of clinical application.