穿支皮瓣床旁护理记录单的设计与应用  

Design and application of perforator flaps bedside nursing records

作　　者：徐晓燕[1] 钟玲[2] 董凯旋[1] 李霞[1] 徐兰[1] 白艳[1] 周智[1] 

机构地区：[1]成都军区昆明总医院全军创伤骨科研究所,昆明市650032 [2]成都军区昆明总医院护理部,昆明市650032

出　　处：《护理管理杂志》2015年第7期526-527,共2页Journal of Nursing Administration

摘　　要：目的探讨穿支皮瓣术后患者床旁护理记录单的使用效果。方法将穿支皮瓣床旁护理记录单应用于108例穿支皮瓣术后患者,观察使用记录单的书写质量、书写时间及患者、医生的满意度。结果术后发现动脉危象4例,静脉危象8例,皮瓣感染2例,经及时对症治疗后皮瓣均存活;记录单书写合格率为97.22%,护士单次书写时间由(4.70±0.62)min缩短到1.51 min(P<0.01),患者对护理服务满意度为98.56%,医生满意度为96.37%。结论床旁护理记录单记录方法科学,不仅能客观、及时地反映皮瓣的动态信息,还能提高护士的工作效率。Objective To investigate the effects of using perforator flap nursing records. Methods Nursing records for perforator flap was designed and applied to 108 cases perforator flap surgery patients. Results Four cases had arterial crisis,8 cases had venous crisis ,2 cases of flap infection, all flaps were sur- vived by symptomatic treatment timely. The qualified rate of nursing records was 97. 22%. The writing time delrease from （ 4. 70 ± 0. 62 ） rain to 1.51 （ P 〈 0.01 ）, % patient satisfaction with care was 98.56%, doctor satisfaction reached to 96.37%. Conclusion The bedside nursing records is scientific, comprehensive and convenient. It is not only objective ,timely reflect the information for the flap ,but also can improve work efficiency of nurses.

关 键 词：护理记录单 护理 穿支皮瓣 

分 类 号：R473.6[医药卫生—护理学]