延续性护理在全耳廓再造术中的应用及对常见并发症的影响  

Applications of continuous nursing intervention in total auricle reconstruction and its effects on common complications

作　　者：高小宁[1] 金伟[1] 宁丽丽[1] GAO Xiaoning;JIN Wei;Ning Lili(Department of Otolaryngology Head and Neck Surgery, The General Hospital of the People's Liberation Army, Beijing 100853, China)

机构地区：[1]中国人民解放军总医院耳鼻咽喉头颈外科

出　　处：《河北医药》2019年第12期1911-1914,共4页Hebei Medical Journal

摘　　要：目的探究延续性护理干预在全耳廓再造术中的应用及对常见并发症的影响。方法选取自2014年1月至2017年12月完成的40例全耳廓再造术患者作为研究对象,采用单盲法设计试验,采用抽签的方法进行随机分组,分别为A组20例,采用延续性护理措施,B组20例,采用常规护理措施。结果经全耳廓再造术和护理后,40例患者全耳廓再造成功,39例再造耳廓双侧对称性一致,1例再造耳廓比健侧耳廓略厚。经护理干预后检查依从性、治疗依从性、保健依从性和自我护理行为评分均显著升高,但B组高于A组,差异有统计学意义(P<0.05)。2组患者干预后各项消极心理改善情况均显著下降,且B组显著低于A组,差异有统计学意义(Z=6.987,P=0.008)。A组患者和家属对本次护理干预的满意度显著低于B组,差异有统计学意义(Z患者=8.145,P=0.000;Z家属=9.226,P=0.000)。A组患者中,术后出现感染、切口裂开、耳后血肿、皮瓣血运障碍各1例。经过及时恰当的护理后40例患者全耳廓再造成功。B组患者无不良事件发生。结论延续性护理应用于全耳廓再造术患者护理效果较佳,能够显著提高患者治疗的依从性、自我护理行为,改善患者消极心理,提高患者及其家属护理满意度,可能会减少术后不良事件发生率。Objective To explore the application of continuous nursing intervention in total auricle reconstruction and its effects on common complications. Methods A total of 40 patients who underwent total auricle reconstruction in our hospital from January 2014 to December 2017 were enrolled as research subjects. The experiment was designed according to single-blind method. The patients were divided into group A(n=20) and group B(n=20) by random draw. The patients in group A were treated by routine nurse measures, however the patients in group B were treated by continuous nursing measures.Results After total auricular reconstruction and nursing intervention,the total auricle reconstruction was successfully completed in the 40 patients,in whom, there were 39 patients whose reconstructed auricle had identical bilateral symmetry, and 1 patient with slightly thicker reconstructed auricle as compared with the healthy auricle. After the nursing intervention, the examination compliance, treatment compliance, the compliance of health and fitness, and self-care behavior scores were significantly improved,moreover the above indexes in group B was were superior to those in group A(P<0.05). After the nursing intervention, the passive psychological status in both groups was significantly decreased, moreover,which in group B was significantly lower than that in goup A(Z=6.987, P<0.01). The satisfaction degree of patients and family members in group A was significantly lower than that in group B(Z patient=8.145, P<0.01;Z family members=9.226, P<0.01). In group A, there was 1 case of infection, 1 case of incision dehiscence, 1 case of post aurem hematoma, and 1 case of flap blood circulation dysfunction after operation.However no adverse events were found in group B. Conclusion The continuous nursing intervention can obtain satisfactory nursing effects in patients who receive total auricle reconstruction, which can significantly improve the treatment compliance, selfcare behavior of patients, improve patient’s passive psychological sta

关 键 词：先天性小耳畸形 全耳廓再造术 并发症 护理措施 

分 类 号：R473.76[医药卫生—护理学]