摘要
目的:探讨Maslow理论指导下护理干预对手部烧伤后瘢痕整形患者自护能力及术后康复的影响。方法:选取2020年1月-2022年12月笔者医院收治的80例手部烧伤后瘢痕整形患者,据随机数表法分为观察组和对照组,各40例。对照组给予3个月常规护理干预,观察组给予3个月Maslow理论指导护理干预。比较两组患者手部功能恢复效果、日常生活活动能力、瘢痕[温哥华瘢痕量表(Vancouver scar scale,VSS)]、手部功能[密歇根手功能量表(Michigan hand outcomes questionnaire,MHQ)]、手指关节活动度及并发症发生情况。结果:干预3个月后,观察组手部功能总优良率高于对照组,VSS各评分均低于对照组,MHQ各评分均高于对照组,手指关节活动度高于对照组,差异均有统计学意义(P<0.05)。干预期间,两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论:Maslow理论指导下护理干预能加快患者手部瘢痕恢复,提高患者自护能力,改善手部功能和手指关节活动度,有较高的临床应用价值。
Objective To explore the effects of nursing intervention based on Maslow theory on self-care ability and postoperative rehabilitation in patients undergoing scar plasty affer hand burn.Methods A total of 80 patients with scar plastic surgery after hand burns admitted to our hospital from January 2020 to December 2022 were selected and divided into an observation group and a control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing intervention for 3 months,and the observation group was given Maslow theory-guided nursing intervention for 3 months.The recovery effect of hand function,activities of daily living(self-care ability)score,scar score[Vancouver scar scale(VSS)],hand function score[Michigan hand outcomes questionnaire(MHQ)],range of motion of finger joints,and complications were compared between the two groups.Results After 3 months of intervention,the total excellent rate of hand function in the observation group was higher than that in the control group,the VSS scores were lower than those in the control group,the MHQ scores were higher than those in the control group,and the range of motion of finger joints was higher than that in the control group,and the differences were statistically significant(P<0.05).During the intervention,there was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Nursing intervention under the guidance of Maslow theory can accelerate the recovery of hand scars in patients,improve the self-care ability of patients,improve hand function and finger joint mobility,which has high clinical application value.
作者
许静
蔡志雨
徐振雷
XU Jing;CAI Zhiyu;XU Zhenlei(Department of Burns and Plastic Surgery,Huai'an First People's Hospital,Huai'an 223300,Jiangsu,China)
出处
《中国美容医学》
CAS
2024年第5期168-171,共4页
Chinese Journal of Aesthetic Medicine
关键词
Maslow理论
护理干预
瘢痕整形
自护能力
术后康复
maslow theory
nursing intervention
scar plasty
self-care ability
postoperative rehabilitation
