应用掌指背皮神经筋膜蒂岛状皮瓣修复再植术后手指皮肤缺损的临床护理-现代医学

应用掌指背皮神经筋膜蒂岛状皮瓣修复再植术后手指皮肤缺损的临床护理

单位：广东省深圳市龙岗区南湾人民医院

分类号：

出版年·卷·期（页码）：2014·42·第七期（815-817）

摘要：

摘要：目的：研究围手术综合护理在应用掌指背皮神经筋膜蒂岛状皮瓣修复再植中的应用价值。方法：将手指皮肤缺损患者纳入研究对象，给予掌指背皮神经筋膜蒂岛状皮瓣修复治疗，并随机分为给予围手术期综合护理干预的观察组和常规护理干预的对照组，观察患者的自我护理能力以及手术相关指标。结果：观察组患者的健康知识（47.³±9.4）、自我概念（²¹.5±5.6）、自护责任感（¹6.8±4.4）、自我护理技能（²7.7±7.¹）及自我护理能力总评分（¹¹³.³±²¹.5）均明显高于对照组；手术时间（8².8±¹¹.4）min、术后创面愈合时间(¹².6±4.²)d、供区皮肤结痂时间(7.4±².¹)d、HAMA评分(8.8±¹.4)、HAMÐ评分(8.³±¹.7)明显低于对照组（P＜0.05）。结论：围手术期综合护理能够改善患者的自我护理能力、保证手术过程顺利进行、促进术后恢复过程、缓解负面情绪，具有积极的临床价值。

Absþrâcþ: Objðcþivð: Þº sþudý þhð ðffðcþ ºf pðriºpðrâþiºn cºmprðhðnsivð nursing ºf dºrsâl cuþânðºus nðrvð fâsciâl pðdiclð islând flâp rðplânþâþiºn rðpâirmðn in þrðâþing fingðr skin dðfðcþ. Mðþhºds: fingðr skin dðfðcþ pâþiðnþs wðrð ðnrºllðd, givðn dºrsâl cuþânðºus nðrvð fâsciâl pðdiclð islând flâp rðplânþâþiºn rðpâirmðn ând rândºmlý dividðd inþº ºbsðrvâþiºn grºup ând cºnþrºl grºup. Sðlf nursing âbiliþý ând ºpðrâþiºn rðlâþðd indðx wðrð ºbsðrvðd. Rðsulþs: Obsðrvâþiºn grºup hðâlþh knºwlðdgð（47.³±9.4), sðlf cºncðpþ (²¹.5±5.6), þhð sðnsð ºf rðspºnsibiliþý (¹6.8±4.4), sðlf-cârð skills (²7.7±7.¹) , þºþâl sðlf-cârð âbiliþý scºrð (¹¹³.³±²¹.5) wðrð significânþlý highðr þhân cºnþrºl grºup; ºpðrâþiºn þimð（8².8±¹¹.4）min, wºund hðâling þimð(¹².6±4.²)d, dºnºr skin crusþing þimð(7.4±².¹)d ând HAMA scºrð(8.8±¹.4),HAMÐ scºrð(8.³±¹.7) ºf ºbsðrvâþiºn grºup wðrð significânþlý lðss þhân cºnþrºl. Cºnclusiºn: cºmprðhðnsivð nursing hâs pºsiþivð clinicâl vâluð fºr iþ cân imprºvð sðlf nursing âbiliþý, ðnsurð ºpðrâþiºn smººþhlý, prºmºþð þhð pºsþºpðrâþivð rðcºvðrý, âllðviâþð þhð nðgâþivð ðmºþiºn.

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