[1]肖丽亚,闫林平,高小雁.规范化护理干预在上肢损伤皮瓣移植术后患者中的应用[J].中华老年骨科与康复电子杂志,2020,(02):117-122.[doi:10.3877/cma.j.issn.2096-0263.2020.02.010]
　Xiao Liya,Yan Liping,Gao Xiaoyan.Application of standardized nursing in patients with upper limb injury after skin flap transplantation[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(02):117-122.[doi:10.3877/cma.j.issn.2096-0263.2020.02.010]
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规范化护理干预在上肢损伤皮瓣移植术后患者中的应用()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2020年02期
页码:
117-122
栏目:
护理园地
出版日期:
2020-04-05

文章信息/Info

Title:
Application of standardized nursing in patients with upper limb injury after skin flap transplantation
作者:
肖丽亚1; 闫林平2; 高小雁3
528000 佛山市第二人民医院骨科1；050011 石家庄市第三医院护理部2；100035 北京市积水潭医院护理部3
Author(s):
Xiao Liya1;  Yan Liping2;  Gao Xiaoyan3
1Department of Orthopedics,?the Second?People’s?Hospital?of??Foshan; 2Department of Nursing,?the Third?People’s?Hospital, Shijiazhuang 050011, China;?3Department of Nursing,?Beijing?Jishuitan?Hospital, Beijing 100035, China
关键词:
上肢损伤;  移植;  皮瓣;  护理
Keywords:
Upper limb injury;  Transplantation;  Skin flap;  Nursing
DOI:
10.3877/cma.j.issn.2096-0263.2020.02.010
文献标志码:
A
摘要:
目的 探讨规范化护理干预在上肢损伤皮瓣移植术后患者中的应用效果。方法 采用方便抽样法，前瞻性收集2015年1月到2018年5月我院收治的80例上肢损伤行皮瓣移植术患者为研究对象，按照入院时间顺序分为对照组和试验组各40例，对照组采用常规护理方法，试验组在常规护理基础上实施规范化护理干预措施，比较两组患者术后疼痛程度、术后皮瓣成活率及平均住院时间。结果 干预后试验组患者轻度疼痛28例（70.0%），高于对照组的13例（32.5%）；中度疼痛6例（15.0%），低于对照组的10例（25.0%）；重度疼痛6例（15.0%），低于对照组的17例（42.5%），差异均有统计学意义（P＜0.05）。试验组患者术后带蒂皮瓣成活38例（95.0%），高于对照组的36例（90%），两组比较差异有统计学意义（P＜0.05）。试验组患者平均住院时间为（21.6±1.8）d，低于对照组的（31.3±5.4）d，差异有统计学意义（P＜0.05）。结论 采取规范化的护理措施对上肢损伤皮瓣移植术后患者进行干预，可有效提高皮瓣成活率，缩短住院时间，提高患者满意度。
Abstract:
Objective To investigate the effect of standardized nursing care on patients’ prognosis after skin flap transplantation for upper limb injury. Methods Using the convenient sampling method, 80 patients with pedicled flap transplantation for upper limb injuries who were treated from January 2015 to May 2018 were selected as the research objects. They were divided into the control group and the experimental group according to the order of admission, with 40 cases in each. The control group used conventional nursing methods, and the experimental group performed normal surgical intervention on the basis of conventional nursing. The postoperative pain, survival rate of flaps, and length of hospital stay were compared between the two groups. Results After the intervention, 28 patients (70.0%) in the experimental group had mild pain, which was higher than 13 (32.5%) in the control group; 6 patients (15.0%) had moderate pain, which was lower than 10 (25.0%) in the control group; 6 were severe pain. The number of cases (15.0%) was lower than that in the control group (17.42.5%). The difference between the two groups was statistically significant (P<0.05). Thirty-eight patients (95.0%) survived with pedicled flaps in the experimental group after surgery, which was higher than the 36 patients (90%) in the control group，The difference between the two groups was statistically significant (P<0.05). The length of hospital stay in the test group was (21.6±1.8) days, which was lower than that in the control group (31.3±5.4) days. There was a statistically significant difference between the two groups (P<0.05). Conclusion Patients with skin flaps need standardized nursing measures, which can effectively improve the survival rate of the flaps, shorten the length of hospital stay, and greatly improve patient satisfaction

参考文献/References:

1 侯春林, 顾玉东. 皮瓣外科学 [M] . 上海: 上海科学技术出版社, 2006 .2 Lu TC, Lin CH, Lin CH, et al. Versatility of the pedided peroneal artery perforator flaps for soft-tissue coverage of the lower leg and foot defects [J]. J Plast Reconstr Aesthet Surg, 2011, 64(3): 386-393.3 刘明明, 彭伶丽. 皮瓣移植术后非侵入性微循环监测方法的进展 [J]. 中华显微外科杂志, 2019, 42(2): 208, 后插1-后插3.4 喻石, 刘毅, 李玉环, 等. 各类皮瓣移植术后静脉危象护理体会 [J]. 中华显微外科杂志, 2017, 40(6): 612-613.5 白艳, 徐永清, 李军, 等. 穿支皮瓣移植术围手术期护理流程的优化设计与应用效果 [J]. 西南国防医药, 2019, 29(9): 971-974.6 殷夕娣, 刘敏, 赵波. 游离皮瓣移植术后并发症的护理观察与应对策略 [J]. 中华显微外科杂志, 2018, 41(3): 299-300.7 刘晓芳. 断指再植术后发生血管危象的原因分析及处理对策 [J]. 中华显微外科杂志, 2005, 28(3): 274-276.8 韩素琴, 王欣, 胡浩良, 等. 改良远端蒂腓动脉穿支螺旋桨皮瓣修复小腿及足踝部软组织缺损的围手术期护理 [J]. 中华显微外科杂志, 2018, 41(2): 201-202.9 郑淑芬. 综合护理干预在手外伤患者皮瓣移植术后的应用研究 [J]. 中外医学研究, 2020, 18(04): 111-113.10 豆楠楠. 综合性护理手外伤皮瓣移植术患者44例 [J]. 河南医学高等专科学校学报, 2018, 30(3): 279-281.11 蒋乐萍, 高伟阳, 杜丽媚, 等. 舒适护理在手外伤皮瓣移植术中的应用效果 [J]. 中国现代医生, 2015, 53(32): 145-148.12 王吉. 口腔颌面外科手术后感染因素及护理对策 [J]. 中国社区医师, 2019, 35(27): 155, 157.13 张鹏, 李元新, 赵宏伟, 等. 腹腔镜阑尾切除术后住院时间影响因素的Logistic回归分析 [J]. 中国数字医学, 2020, 15(01): 136-138.

备注/Memo

备注/Memo:
河北省医学科学研究重点课题（08323）
更新日期/Last Update: 2020-07-07