人性化护理在手部烧伤患者瘢痕整形术后康复中的应用

Application of humanized nursing care in postoperative rehabilitation of hand burn patients undergoing keloid plastic surgery

目的探讨人性化护理干预在手部烧伤患者瘢痕整形术后康复中的应用效果。方法选取2019年1月—2020年2月在开封市某医院行瘢痕整形术的103例手部烧伤患者为研究对象,采用随机数字表法分为对照组(44例)与观察组(59例)。对照组患者术后采用常规护理干预,观察组患者术后采用人性化护理干预。比较2组患者护理干预7 d时的心理状况,术后6个月时手指关节活动度(TAM),术前及术后6个月时的握力。结果观察组患者护理干预7 d时的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于对照组,差异均有统计学意义(P<0.05)。2组患者术前握力比较,差异无统计学意义(P>0.05);2组患者术后6个月时的握力大于术前,且观察组大于对照组,差异均有统计学意义(P<0.05)。观察组患者术后6个月时TAM优良率为91.52%,高于对照组的75.00%,差异有统计学意义(χ^(2)=5.246,P=0.022)。观察组患者并发症发生率为5.08%,低于对照组的20.45%,差异有统计学意义(χ^(2)=5.784,P=0.016)。结论人性化护理干预可促进手部烧伤患者瘢痕整形术后手功能恢复,缓解不良情绪,减少并发症的发生。

Objective To explore the effect of humanized nursing intervention in the postoperative rehabilitation of hand burn patients undergoing keloid plastic surgery.Methods One hundred and three hand burn patients who underwent keloid plastic surgery in a hospital in Kaifeng from January 2019 to February 2020 were selected and divided into a control group(44 cases)and an observation group(59 cases)using the random number table method.Patients in the control group were treated with conventional nursing interventions after surgery.Patients in the observation group received humanized nursing interventions after surgery.The psychological status,finger joint total active motion(TAM)at 6 months after surgery,and grip strength before and at 6 months after surgery were compared between the two groups.Results The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients in the observation group were lower than those in the control group after 7 d of nursing intervention,and the differences were statistically significant(P<0.05).There was no statistically significant difference between the preoperative grip strength of the 2 groups of patients(P>0.05);the grip strength of the 2 groups of patients at 6 months after surgery was greater than that before surgery and greater in the observation group than in the control group,with statistically significant differences(P<0.05).The excellent TAM rate of patients in the observation group at 6 months after surgery was 91.52%,which was higher than that of the control group(75.00%),and the difference was statistically significant(χ^(2)=5.246,P=0.022).The complication rate of patients in the observation group was 5.08%,which was lower than that of 20.45%in the control group,and the difference was statistically significant(χ^(2)=5.784,P=0.016).Conclusion Humanized nursing interventions can promote hand function recovery,relieve adverse emotions and reduce the occurrence of complications in hand burn patients after keloid plastic surgery.