摘要
目的:探讨改良式简易封闭负压引流技术联合全面护理在断肢再植患者术后创面修复中的应用。方法:选取2018年1月-2020年6月于笔者医院收治的284例断肢再植手术患者作为研究对象,采用单双号法将284例患者随机分为观察组(142例)和对照组(142例)。两组均行断肢再植手术治疗,对照组术后采用常规封闭负压引流技术联合全面护理,观察组采用改良式简单封闭负压引流技术联合全面护理。对比两组创面愈合时间、敷料维持时间、住院时间和住院费用,护理前后疼痛视觉模拟评分(Visual analogue scale,VAS),护理期间的术后并发症发生率以及患者护理满意度。结果:护理后,观察组VAS评分、创面愈合时间、住院时间和住院费用均低于对照组,敷料维持时间高于对照组,差异有统计学意义(P<0.05)。观察组对护理技术、护理态度、护理方式和健康教育方面满意度以及护理总满意度评分均明显高于对照组,差异有统计学意义(P<0.05)。护理期间,观察组并发症发生率3.52%低于对照组的9.86%,差异有统计学意义(P<0.05)。结论:改良式简易封闭负压引流技术联合全面护理在断肢再植患者术后创面修复中的应用,可减少术后并发症的发生,加快创面愈合,并缓解患者疼痛,减少住院时间和费用,提升患者的临床护理满意度。
Objective to explore the application of modified simple vacuum sealing drainage combined with comprehensive nursing in the wound repair of patients with amputated limb replantation.Methods A total of 284 patients who underwent severed limb re-plantation and were admitted to the hospital from January 2018 to June 2020 were enrolled as the research objects.They were randomly divide into the observation group(142 cases)and the control group(142 cases)by even-odd number method.Both groups were treated with replantation,the control group was treated with conventional vacuum sealing drainage combined with comprehensive nursing,and the observation group was treated with improved simple vacuum sealing drainage combined with comprehensive nursing.The wound healing time,dressing maintenance time,hospitalization time and cost,scores of visual analogue scale(VAS)before and after nursing,the incidence of postoperative complications during nursing and clinical nursing satisfaction after nursing were compared between the two groups.Results After nursing,VAS score,wound healing time,hospitalization time and cost in the observation group were all lower than those in the control group,the dressing maintenance time was higher than that of the control group,the differences were statistically significant(P<0.05).The satisfaction with nursing technology,nursing attitude,nursing methods and health education,and score of total nursing satisfaction in the observation group were significantly higher than those in the control group(P<0.05).During nursing,incidence of complications in the observation group was lower than that in the control group(3.52%vs 9.86%,P<0.05).Conclusion The application of modified simple vacuum sealing drainage combined with comprehensive nursing in the wound repair of patients with replantation of severed limbs can reduce the occurrence of postoperative complications,accelerate wound healing,relieve pain,reduce hospitalization time and cost,and improve the clinical nursing satisfaction of patients.
作者
张美娟
林贝
刘凯明
ZHANG Mei-juan;LIN Bei;LIU Kai-ming(Trauma Surgery,Sanya People's Hospital,Sanya 572000,Hainan,China;Bone Microsurgery,Sanya People's Hospital,Sanya 572000,Hainan,China;Intensive Care Medicine,Sanya People's Hospital,Sanya 572000,Hainan,China)
出处
《中国美容医学》
CAS
2021年第5期162-165,共4页
Chinese Journal of Aesthetic Medicine
关键词
改良式简易封闭负压引流技术
断肢再植手术
全面护理
创面修复
并发症
愈合时间
modified simple vacuum sealing drainage technology
amputated limb replantation
comprehensive nursing
wound healing
complication
healing time
