临床护理干预在外科门诊患者创口换药中的应用效果分析

Analysis of Application Effect of Clinical Nursing Intervention on Wound Dressing Change of Surgical Outpatients

目的:分析外科门诊患者进行创口换药时予以临床护理干预的应用效果。方法:选取2021年3月-2022年2月兰州市城关区人民医院外科门诊创口换药患者90例为观察对象,根据红蓝球随机分组法分为对照组与观察组,各45例。对照组给予常规护理干预,观察组给予临床护理干预。比较两组患者的创口恢复情况、疼痛评分、创口愈合时间、护理满意度、不良反应发生率。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05);换药后,两组患者视觉模拟评分表评分均降低,观察组低于对照组,差异有统计学意义(P<0.05);观察组创口愈合时间短于对照组,差异有统计学意义(P<0.05);观察组护理态度、操作技能、护理过程及换药环境满意度评分高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:外科门诊患者进行换药时予以临床护理干预可促进创口的愈合,缓解患者疼痛,提高临床护理干预的满意度,降低不良反应发生率。

Objective:To analyze the application effect of clinical nursing intervention in surgical outpatients undergoing wound dressing change.Methods:From March 2021 to February 2022,90 patients with wound dressing changes in the Surgical Clinic of Chengguan District People's Hospital in Lanzhou were selected as the observation objects.They were divided into control group and observation group according to red/blue ball randomization method,with 45 cases in each group.The control group received routine nursing intervention,and the observation group received clinical nursing intervention.The patients'wound recovery,pain score,wound healing time,nursing satisfaction,and the incidence of adverse reactions were compared between two groups.Results:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After dressing change,the visual analogue scale score of both groups was reduced,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The wound healing time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction scores with nursing attitude,operation skills,nursing process and dressing change environment in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Clinical nursing intervention in surgical outpatients during wound dressing change can promote wound healing,relieve patients'pain,increase the satisfaction of clinical nursing intervention,and reduce the incidence of adverse reactions.