中医护理对手部血管损伤术后患者的应用研究

Application Study of TCM Care for Patients After Rival Vascular Injury

目的:分析中医护理对手部血管损伤术后患者的应用效果。方法:选取2021年1月—2022年12月九江市第一人民医院急诊科收治的80例手部血管损伤患者作为研究对象,采用区间随机法将其分为对照组(n=40)和研究组(n=40),两组患者均接受吻合手术治疗,对照组术后行常规护理,研究组在常规护理基础上增加中医护理干预。比较两组患者术后疼痛程度[视觉模拟评分法(VAS)评分]、术后早期并发症发生情况、预后情况、护理前后生活质量[生活质量量表(SF-36)评分]及护理满意度情况。结果:术后2 d、4 d、6 d、8 d,研究组患者VAS评分低于对照组,差异有统计学意义(t=4.870、6.611、5.960、7.507,P<0.05);术后,研究组患者术后并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.114,P<0.05);出院后1个月、出院后3个月、出院后6个月,研究组患者预后评估评分低于对照组,差异有统计学意义(t=8.422、7.354、18.245,P<0.05);护理后,研究组患者SF-36评分高于对照组,差异有统计学意义(t=3.156、3.502、3.256、4.901,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)=7.314,P<0.05)。结论:手部血管损伤患者术后恢复过程中会给患者带来多种问题,包括术后伤口出血、吻合口瘘、血管痉挛等,中医护理技术对患者术后恢复有重要作用,可以减轻患者疼痛、降低并发症发生率、改善患者预后,提高患者的护理满意度。

Objective:To analyze the effect of TCM nursing patients after hand vascular injury.Methods:Hand vascular injury patients(80 cases)from January 2021 to December,2022 were taken as the research objects.They were divided into control group and study group according to interval random method,with 40 cases in each group.The patients in both groups received surgical treatment.The control group underwent routine postoperative nursing,and the research group added nursing intervention on the basis of routine nursing.Pre and post care pain scores(VAS),early postoperative complications,prognosis,score of continuing nursing record,and patient satisfaction with nursing services were compared.Results:2,4,6 and 8 days after surgery,the pain score of the study group was lower than that of the control group,and the difference was statistically significant(t=4.870,6.611,5.960,7.507;P<0.05).Postoperative complications in the study group were lower than those in the control group,and the difference was statistically significant(χ^(2)=4.114,P<0.05).1 month,3 months and 6 months after discharge,the prognosis of the study group was lower than that of the control group,and the difference was statistically significant(t=8.422,7.354,18.245;P<0.05).After nursing,the SF-36 score of the study group was higher than that of the control group,and the difference was statistically significant(t=3.156,3.502,3.256,4.901;P<0.05).The patient’s nursing satisfaction in the research group was higher than that in the control group,and the difference was statistically significant(χ^(2)=7.314,P<0.05).Conclusion:Patients with hand vascular injury may have many problems during the recovery process:postoperative wound bleeding,anastomotic fistula,and vasospasm,etc.Traditional Chinese medicine nursing technology plays an important role in postoperative recovery.It can reduce patient’s pain,reduce complications,improve patient prognosis,and improve patient satisfaction.