规范化护理干预在上肢损伤皮瓣移植术后患者中的应用

Application of standardized nursing in patients with upper limb injury after skin flap transplantation

目的探讨规范化护理干预在上肢损伤皮瓣移植术后患者中的应用效果.方法采用方便抽样法,前瞻性收集2015年1月到2018年5月我院收治的80例上肢损伤行皮瓣移植术患者为研究对象,按照入院时间顺序分为对照组和试验组各40例,对照组采用常规护理方法,试验组在常规护理基础上实施规范化护理干预措施,比较两组患者术后疼痛程度、术后皮瓣成活率及平均住院时间.结果干预后试验组患者轻度疼痛28例(70.0%),高于对照组的13例(32.5%);中度疼痛6例(15.0%),低于对照组的10例(25.0%);重度疼痛6例(15.0%),低于对照组的17例(42.5%),差异均有统计学意义(P<0.05).试验组患者术后带蒂皮瓣成活38例(95.0%),高于对照组的36例(90%),两组比较差异有统计学意义(P<0.05).试验组患者平均住院时间为(21.6±1.8)d,低于对照组的(31.3±5.4)d,差异有统计学意义(P<0.05).结论采取规范化的护理措施对上肢损伤皮瓣移植术后患者进行干预,可有效提高皮瓣成活率,缩短住院时间,提高患者满意度.

Objective To investigate the effect of standardized nursing care on patients'prognosis after skin flap transplantation for upper limb injury.Methods Using the convenient sampling method,80 patients with pedicled flap transplantation for upper limb injuries who were treated from January 2015 to May 2018 were selected as the research objects.They were divided into the control group and the experimental group according to the order of admission,with 40 cases in each.The control group used conventional nursing methods,and the experimental group performed normal surgical intervention on the basis of conventional nursing.The postoperative pain,survival rate of flaps,and length of hospital stay were compared between the two groups.Results After the intervention,28 patients(70.0%)in the experimental group had mild pain,which was higher than 13(32.5%)in the control group;6 patients(15.0%)had moderate pain,which was lower than 10(25.0%)in the control group;6 were severe pain.The number of cases(15.0%)was lower than that in the control group(17.42.5%).The difference between the two groups was statistically significant(P<0.05).Thirtyeight patients(95.0%)survived with pedicled flaps in the experimental group after surgery,which was higher than the 36 patients(90%)in the control group,The difference between the two groups was statistically significant(P<0.05).The length of hospital stay in the test group was(21.6±1.8)days,which was lower than that in the control group(31.3±5.4)days.There was a statistically significant difference between the two groups(P<0.05).Conclusion Patients with skin flaps need standardized nursing measures,which can effectively improve the survival rate of the flaps,shorten the length of hospital stay,and greatly improve patient satisfaction.