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加强护理干预对小儿面部外伤整形美容缝合术后伤口愈合及感染的影响分析

Analysis of the Effect of Strengthening Nursing Intervention on Wound Healing and Infection after Plastic and Cosmetic Suture in Children with Facial Trauma
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摘要 目的 分析加强护理干预在小儿面部外伤整形美容缝合术中的应用效果及对伤口愈合及感染影响。方法 方便选取2020年1月—2021年6月该院收治的74例接受整形美容缝合术治疗的面部外伤患儿展开分析,随机分为对比组(常规护理)、研究组(加强护理干预),各37例,对比评估患儿依从性、伤口愈合情况、并发症发生率以及护理满意度和患儿生活质量。结果 研究组总依从率(97.30%)较对比组(78.38%)更高,差异有统计学意义(χ^(2)=4.554,P=0.033);研究组伤口愈合优良率(100.00%)较对比组(83.79%)更高,差异有统计学意义(χ^(2)=4.534,P=0.033);分析并发症发生率,研究组(5.40%)较对比组(21.62%)更低,差异有统计学意义(χ^(2)=4.163,P=0.041);研究组护理满意度(94.60%)较对比组(75.68%)更高,差异有统计学意义(χ^(2)=5.232,P=0.022);干预前,两组生理功能、情感功能、社会功能和角色功能评分差异无统计学意义(P>0.05),干预后,研究组上述维度评分(73.16±3.83)分、(73.04±3.79)分、(73.85±3.66)分、(73.15±3.58)分均高于同期对比组(68.24±2.75)分、(68.09±2.66)分、(68.71±2.48)分、(68.01±2.44)分,差异有统计学意义(t=6.347、6.463、7.072、7.217,P<0.05)。结论 在小儿面部外伤整形美容缝合术中,实施加强护理干预,对提升患儿依从性、促进伤口愈合、降低并发症发生率以及提升护理满意度和患儿生活质量方面均具有积极影响,因此,加强护理干预可作为推荐在小儿面部外伤整形美容缝合术中推广、施行。 Objective To analyze the application effect of strengthening nursing intervention in children’s facial trauma plastic and cosmetic suture and its effect on wound healing and infection.Methods From January 2020 to June 2021,74 children with facial trauma who were admitted to the hospital and received plastic and cosmetic suture treatment were conveniently selected and analyzed,and they were randomly divided into the control group (routine care) and study group (enhanced nursing intervention),with 37 cases in each group,and the children’s compliance,wound healing,complication rate,nursing satisfaction and quality of life of children were compared and evaluated.Results The overall compliance rate of the study group (97.30%) was higher than that of the control group(78.38%),the difference was statistically significant(χ^(2)=4.554,P=0.033).The excellent and good rate of wound healing in the study group (100.00%) was higher than that in the control group (83.79%),the difference was statistically significant (χ^(2)=4.534,P=0.033).The complication rate of the study group (5.40%) was lower than the control group(21.62%),the difference was statistically significant (χ^(2)=4.163,P=0.041).The nursing satisfaction of the study group(94.60%) was higher than the control group (75.68%),the difference was statistically significant(χ^(2)=5.232,P=0.022).Before intervention,there were no statistically significant differences in the scores of physiological function,emotional function,social function and role function between the two groups (P>0.05).After the intervention,the abovementioned dimension scores of the study group (73.16±3.83) points,(73.04±3.79) points,(73.85±3.66) points,(73.15±3.58) points were higher than those of the control group (68.24±2.75) points,(68.09±2.66) points,(68.71±2.48) points,(68.01±2.44) points,the difference was statistically significant (t=6.347,6.463,7.072,7.217,P<0.05).Conclusion In pediatric facial trauma plastic and cosmetic suture,the implementation of enhanced nursing intervention has a positive impact on improving children’s compliance,promoting wound healing,reducing the incidence of complications,improving nursing satisfaction and children’s quality of life.Therefore,strengthening nursing intervention can be recommended as a recommendation in the promotion and implementation of plastic and cosmetic sutures for pediatric facial trauma.
作者 王露 WANG Lu(Department of Plastic Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350001 China)
出处 《中外医疗》 2022年第15期190-194,共5页 China & Foreign Medical Treatment
关键词 小儿面部外伤 整形美容缝合术 伤口愈合 并发症 护理满意度 生活质量 Pediatric facial trauma Plastic and cosmetic suture Wound healing Complications Nursing satisfaction Quality of life
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