摘要
目的:探讨临床护理路径在手外科负压封闭引流(VSD)护理中的应用及对患者并发症发生的影响。方法:选取2017年1月-2018年1月本院收治的50例手外科行VSD患者,按随机数字表法分为对照组与研究组,各25例。对照组进行常规护理,研究组进行临床护理路径护理。比较两组护理满意度、健康促进方式、自我护理能力、并发症发生率和手功能。结果:研究组护理满意度高于对照组(P<0.05);研究组各项健康促进方式和自我护理能力评分均优于对照组(P<0.05)。干预前,两组健侧与患侧手功能比较,差异均无统计学意义(P>0.05);干预后,研究组患侧手功能优于对照组(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。研究组疼痛评分、住院费用和时间均少于对照组(P<0.05)。结论:对手外科VSD患者进行临床护理路径护理,可有效改善患者手功能,提高健康促进方式和自我护理能力,降低了并发症发生率,缩短了住院时间,降低了住院费用,患者满意度高。因此,在手外科VSD中,临床护理路径应进一步推广和应用。
Objective:To explore the clinical nursing path in hand surgery vacuum sealing drainage(VSD)nursing and the effect of complications.Method:A total of 50 cases of hand surgery VSD patients admitted to our hospital from January 2017 to January 2018 were selected and divided into control group and research group according to the random number table method,25 cases in each group.The control group was given routine nursing,and the research group was given clinical nursing path.Nursing satisfaction,health promotion mode,self-care ability,complication rate and hand function were compared between the two groups.Result:The nursing satisfaction of the research group was higher than that of the control group(P<0.05).The all scores of health promotion mode and self-care ability of the research group were better than those of the control group(P<0.05).Before intervention,there was no statistically significant difference in the hand function of the healthy and affected side between the two groups(P>0.05).After intervention,the affected side hand function of the research group was better than that of the control group(P<0.05).The complication rate of the research group was lower than that of the control group(P<0.05).Pain score,hospitalization expenses and time were shorter than those of the control group(P<0.05).Conclusion:For patients with hand surgery VSD,clinical nursing path nursing can effectively improve the hand function of patients,improve the mode of health promotion and self-care ability,reduce the incidence of complications,shorten the length of hospital stay,reduce the cost of hospital stay and achieve high patient satisfaction.Therefore,the clinical nursing pathway should be further popularized and applied in the VSD of hand surgery.
作者
陆忆红
LU Yihong(Kunshan Hospital Affiliated to Jiangsu University,Kunshan 215300,China)
出处
《中国医学创新》
CAS
2019年第33期99-103,共5页
Medical Innovation of China
关键词
临床护理路径
手外科
负压封闭引流
Clinical nursing path
Hand surgery
Vacuum sealing drainage
