手外伤患者皮瓣移植术后发生感染的情况及护理干预措施研究

Study on the Occurrence of Infection After Flap Grafting in Patients with Hand Trauma and Nursing Interventions

目的:探讨手外伤患者皮瓣移植术后发生感染的情况及护理干预措施研究,为手外伤皮瓣转移术患者获得良好的预后提供科学依据。方法:回顾性分析2014年1月—2016年12月开封市人民医院收治的80例手外伤皮瓣移植术患者临床资料。采用随机数表法分为对照组和观察组,每组各40例。对照组采用常规护理预防术后感染干预措施,观察组采取特殊护理干预预防术后感染干预措施。比较两组患者护理前、护理后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、术后感染发生率以及护理满意度。结果:研究组患者术后感染发生率低于对照组,差异有统计学意义(χ^(2)=7.1685,P<0.05);研究组患者护理满意度高于对照组,差异有统计学意义(χ^(2)=10.1199,P<0.05);干预后,两组患者SAS与SDS评分均降低,且研究组显著低于对照组,差异有统计学意义(t=8.7916、8.8792,P<0.05)。结论:通过实施特殊护理干预能够降低手外伤患者皮瓣移植术后感染的发生,通过改善患者的负性情绪,提高护理满意度。

Objective:To investigate the occurrence of infection after flap transfer in patients with hand trauma and the study of nursing interventions to provide a scientific basis for obtaining a good prognosis for patients with flap transfer in hand trauma.Methods:The clinical data of 80 patients admitted to the hospital for flap transfer for hand trauma from January 2014 to December 2016 were retrospectively analyzed,and the random number table method was used to divide them into a control group and an observation group,with 40 cases in each group.The control group was administered with conventional nursing interventions to prevent postoperative infections,and the observation group was given special nursing interventions to prevent postoperative infections.The anxiety self-assessment scale(SAS)and depression self-assessment scale(SDS),the incidence of postoperative infection,and the satisfaction rate of nursing care were compared between the two groups before and after nursing care.Results:The postoperative infection rate in the study group was lower than that in the control group,and the difference was statistically significant(χ^(2)=7.1685,P<0.05).The nursing satisfaction rate of the study group was higher than that of the control group,and the difference was statistically significant(χ^(2)=10.1199,P<0.05).After the intervention,the study group measured significantly lower results than the control group,with statistically significant differences(t=8.7916,8.8792,P<0.05).Conclusion:The implementation of specific nursing interventions can reduce the incidence of postoperative flap graft infections in patients with traumatic hand injury and improve nursing satisfaction by improving patients’negative emotions.