延续护理对毁损性手外伤患者术后康复质量的影响  

The effect of continuing nursing on postoperative rehabilitation quality of patients with destructive hand trauma

作　　者：郭梅 王水飞 

机构地区：[1]舟山市中医院手术室,浙江舟山316000 [2]舟山市中医院手外科

出　　处：《中华全科医学》2017年第5期899-901,共3页Chinese Journal of General Practice

摘　　要：目的探讨延续护理对于毁损性手外伤患者康复质量的影响,为毁损性手外伤康复提供护理方向,为临床提供帮助。方法选取舟山市中医院2013年11月—2014年6月收治的毁损性手外伤患者158例作为研究对象,通过完全随机法,将患者分为观察组和对照组各79例,观察组于患者出院后进行居家延续护理,对照组于出院后进行常规电话回访,制定满意度量表,并对2组患者出院后1年的移植成活率、患者对皮瓣外观、患指残存功能的满意度以及患者的抑郁情况进行比较分析,进而探讨延续护理对于毁损性手外伤患者康复质量的影响。结果观察组成活率为87.34%,明显高于对照组的56.96%,差异具有统计学意义(P<0.05)。观察组满意度为98.73%,明显高于对照组的44.30%,差异具有统计学意义(P<0.05)。观察组患者以无抑郁的患者为主,总分为(49.08±12.25)分;对照组患者多数存在中度抑郁情况,总分为(67.37±8.23)分,2组比较差异存在统计学意义(P<0.05)。结论延续护理具有提高断指再造或者移植成活率、患者满意度佳、情绪稳定、抑郁情绪明显减少等优点,有助于恢复患者的正常工作及生活情况。Objective To investigate the effect of continuing nursing on postoperative rehabilitation quality of patients with destructive hand trauma, to provide nursing direction for the postoperative rehabilitation of patients with destructive hand trauma,and to provide help for clinics. Methods One hundred and fifty-eight cases of patients with destructive hand trauma from November,2013 to June,2014 in Zhoushan Hospital of Traditional Chinese Medicine were selected as study subject, and divided into observation group and control group by completely random method, with 79 cases in each group. Patients in observation group were given continue nursing after discharge, and patients in control group only given conventional telephone interviews, he satisfaction table was made, and the transplant survival rate, patients＇ satisfaction on flap appearance and remaining function of injured finger, and depression status of two groups were compared and ana- lyzed, to investigate the effect of continuing nursing on postoperative rehabilitation quality of patients with destructive hand trauma. Results The survival rate of observation group was 87.34%, which was significantly higher than that of control group 56.96% , and the differences were statistically significant （ P 〈 0.05 ）. he satisfaction of observation group was 98.73, which was significantly higher than that of the control group 44.30%., with a statistical significance （P 〈 0.05 ）. Patients in observation group consisted of no depressed patients, and the total score was 49.08 ± 12.25 ;patients in control group consisted of moderate depression patients, and the total score was 67.37± 8.23, and there were significant difference when comparing the two groups （ P 〈 0.05 ）. Conclusion Continuing nursing had advantages in improving the survival rate of rebuilding or transplanting broken fingers, patients＇ satisfaction, mood stability and reducing the depression, helping to restore the work and life of patients with destructive hand trauma.

关 键 词：延续护理 毁损性手外伤 术后康复质量 护理质量 

分 类 号：R473.6[医药卫生—护理学] R658.2[医药卫生—临床医学]