负压封闭引流技术结合个性化心理护理干预对外科创面难愈患者的影响  

Effect of Vacuum Sealing Drainage Combined with Personalized Psychological Care Intervention on Surgical Patients with Refractory Wound

作　　者：董茜[1] 

机构地区：[1]河南开封市第二人民医院皮肤科,河南开封475002

出　　处：《中外医疗》2015年第11期144-146,共3页China & Foreign Medical Treatment

摘　　要：目的探讨负压封闭引流技术结合个性化心理护理干预对外科创面难愈患者的影响。方法选取126例难愈性创面患者为研究对象,根据其入院顺序分成个性化护理组(A组,n=66)和对照组(B组,n=60)两组,均在负压封闭引流治疗后予以相应护理干预措施。比对两组患者在植皮愈合时间、住院时间、NRS评分等创面恢复指标上的差异,分析其干预前后SAS评分及SDS评分等不良情绪改善情况,记录其创面出血、创面感染、半透膜下积液等并发症发生风险。结果①A组术后植皮愈合时间、总住院时间及疼痛评估结果均明显低于B组(P<0.05);②A组不良情绪改善效果明显优于B组(P<0.05);③两组术后并发症发生率对比无明显差异(P>0.05)。结论对难愈性创面患者予以负压封闭引流后个性化心理干预措施,可有效改善其不良情绪,提高治疗依从性,促进预后提升,值得临床推广。Objective To investigate the effect of vacuum sealing drainage combined with personalized psychological care intervention on surgical patients with refractory wound.Methods 126 cases with refractory wound were selected as the subjects and divided into the personalized nursing group （group A,n=66） and control group （group B,n=60） in accordance with the order of admission, and given the corresponding nursing respectively after vacuum sealing drainage.The skin graft healing time, length of stay, NRS score and other wound recovery indexes were compared between the two groups.The SAS and SDS scores before and after intervention and other bad mood improvement of the two groups were analyzed. And the incidence of wound bleeding, wound infection, semipermeable membrane effusion and other complications in the two groups were recorded.Results ①The postoperative skin graft healing time and hospitalization time were much shorter and pain assessment was significantly lower in group A than that in group B, respectively（P〈0.05）;②The bad mood improvement in group A was obviously better than that in group B （P〈0.05）; ③The incidence rate of postoperative complications between the two groups had no significant difference（P〉0.05）.Conclusion For patients with refractory wound, vacuum sealing drainage combined with personalized psychological care intervention can effectively ameliorate the negative emotions, enhance the treatment compliance and improve the prognosis, so it is worthy of clinical promotion.

关 键 词：负压封闭引流技术 个性化心理护理 创面难愈 

分 类 号：R47[医药卫生—护理学]