特色护理专科建设对断指再植患者术后血管危象的影响  

Effects of nursing specialty construction on vascular crisis in patients after finger replantation

作　　者：王文杰[1] 詹艳[1] 冯晓敏[1] 张东云[1] 王梦荷[1] 程红霞[1] 

机构地区：[1]湖北省十堰市太和医院 湖北医药学院附属医院 护理部,442000

出　　处：《中华现代护理杂志》2016年第30期4351-4354,共4页Chinese Journal of Modern Nursing

基　　金：湖北省教育厅科研基金项目（15D081）

摘　　要：目的：探讨特色护理专科建设对断指再植患者术后血管危象影响的效果。方法采用病例对照的研究方法,将某医院显微外科2015年1—12月的151例患者（203指）作为观察组,2014年1—12月的143例患者（195指）为对照组进行研究；对照组采取常规的术后护理,观察组通过特色护理专科创建,成立创建小组,对断指再植术后患者实施“自助疼痛管理技术”“卧位护理技术”“舒适安全保暖技术”“切口冲洗放血技术”和“五爱服务”等特色技术和特色护理服务措施；运用SPSS 17.0统计软件分析两组患者的血管危象发生率。结果观察组151例患者再植203指,动脉危象发生率为2.0％,静脉危象发生率为2.5％；对照组143例患者再植195指,动脉危象发生率为7.7％,静脉危象发生率为9.2％,经统计分析,两组比较差异有统计学意义（ P〈0.05）。结论通过特色护理专科建设,对断指再植患者实施特色护理技术和特色护理服务,有效降低了血管危象的发生率,提高了护士的创新能力和专业水平,促进了专科护理的持续发展。Objective To explore the effects of nursing specialty construction on vascular crisis in patients after replantation of severed finger.Methods A case control study was conducted, and 151 patients （ 203 fingers） of microsurgery in a hospital from January to December 2015 were selected as the observation group, and 143 patients （ 195 fingers） were selected as the control group. Patients in the control group received routine postoperative nursing, while patients in the observation group were given special technologies and special nursing measures which included ＆quot; self-help pain management techniques＆quot;＆quot;decubitus nursing technology＆quot; ＆quot; warm comfortable security technologies＆quot; ＆quot; cut flush bloodletting technologies＆quot; and ＆quot;five-love service＆quot; through the construction of special nursing specialty; SPSS 17. 0 statistical software was used to analyze the incidence rate of vascular crisis in two groups. Results In the observation group, 151 cases, 203 fingers received replantation, and the incidence rate of arterial crisis was 2.0%;the incidence rate of venous crisis was 2.5%. In the control group, 143 cases, 195 fingers received replantation and the incidence rate of arterial crisis was 7.7%;the incidence rate of venous crisis was 9.2%. According to the statistical analysis, there was significant difference between two groups （ P〈0. 05 ） . Conclusions Through the construction of nursing specialty, the implementation of special nursing technology and special nursing service, can effectively reduce the incidence of vascular crisis and improve the innovation ability and professional level of the nurses, and promote the sustainable development of nursing.

关 键 词：显微外科手术 断指再植 血管危象 特色护理专科建设 

分 类 号：R473.6[医药卫生—护理学]