断指再植(造)术后影响绝对卧床依从性因素的调查分析及对策  

Investigation analysis and countermeasure for influencing factors of compliance of complete bed rest after replantation of severed finger

作　　者：蔡凌[1] 魏水华[1] 余诗军[1] 谭亚茜[1] 

机构地区：[1]广州医学院附属沙井人民医院,深圳宝安518104

出　　处：《齐齐哈尔医学院学报》2013年第20期3067-3069,共3页Journal of Qiqihar Medical University

基　　金：深圳市宝安区科技计划项目(项目编号:20110518)

摘　　要：目的探讨影响断指再植(造)术后绝对卧床依从性的原因,以预防再植(造)术后血管危象,提高再植(造)的成活率。方法采用自行设计的调查问卷,对2011年1月至2013年6月断指再植(造)术后绝对卧床依从性差的86例患者进行问卷调查,调查结束后收集,整理数据,并对这些原因进行分析。结果在所调查的前三位因素依次为:需下床大小便(79.3%),坐起进食(66.9%),手术效果(56.6%)。另外在年龄、心理因素等方面也受到一定程度的影响。根据上述因素有针对性的实施了认知行为干预,依从性得到明显的提高。结论断指再植(造)术后绝对卧床在一定程度上能影响着断指的成活率,临床上应该重视这些因素,进行认知行为的干预,有助于预防再植术后血管危象的发生,提高断指再植(造)的成活率。Objective To investigate the influencing factors of compliance of complete bed rest after replantation of severed finger in order to prevent vascular crisis and improve the survival rate of replantation. Methods From January 2011 to June 2013, 86 cases that were poor in compliance of complete bed rest after replantation of severed finger, were investigated with the self-designed questionnaires survey and analyzed the reasons. Results The first three influencing factors were got out of bed to toilet（79.3% ） , sat up to eat（66. 9% ）, surgical resuhs（56.6% ）. Age and psychological factor also had certain influence on the results. Effective intervention of cognitive behavior was given according to those influence factors and improved the compliance. Conclusions Complete bed rest after replantation of severed finger has certain influence on survival rate of replantation. Intervention of cognitive behavior is the key to prevent vascular crisis and improve the survival rate of replantation.

关 键 词：断指再植 绝对卧床 认知行为的干预 依从性 问卷调查 

分 类 号：R658.1[医药卫生—外科学]