自制固定托装置在腹部皮瓣修复术后护理中的应用  

Application of self-made fixed support in postoperative nursing of abdominal flap repair

作　　者：旷玲玉 周望高 贺海燕 郑哲 谭亚茜 黄伟妮 魏水华 Kuang Lingyu;Zhou Wanggao;He Haiyan;Zheng Zhe;Tan Yaxi;Huang Weini;Wei Shuihua(Department of Hand Surgery,Shajing People′s Hospital,Guangzhou Medical University,Shenzhen 518104,China)

机构地区：[1]广州医科大学附属深圳沙井医院手外科,518104

出　　处：《中国实用护理杂志》2021年第10期780-785,共6页Chinese Journal of Practical Nursing

基　　金：深圳市宝安区科技创新局科研项目(2020JD169)。

摘　　要：目的探讨自行设计的固定托装置在腹部皮瓣修复术后护理中的应用效果。方法对2016年1月至2019年12月广州医科大学附属深圳沙井医院手外科收治的47例手部组织缺损行腹部皮瓣修复的患者按随机数字表法分为对照组23例和观察组24例,对照组按传统方法进行护理,观察组术后使用自行设计的固定托装置进行护理。对2组患者腹部皮瓣的伤口愈合情况、皮瓣术后伤口撕裂情况、术后蒂部溃疡的发生情况及患者护理满意度进行比较。结果对照组伤口一期愈合7例、二期愈合16例,观察组伤口一期愈合18例、二期愈合6例,2组比较差异有统计学意义(χ^(2)值为9.368,P<0.01)。对照组伤口撕裂发生率为26.1%(6/23),观察组为0,2组比较差异有统计学意义(χ^(2)值为7.177,P<0.05)。对照组皮瓣蒂部溃疡发生率为69.6%(16/23),观察组为33.3%(6/24),2组比较差异有统计学意义(χ^(2)值为6.170,P<0.05)。对照组护理满意度为(76.8±8.4)分,观察组为(90.4±6.5)分,2组比较差异有统计学意义(t值为-4.640,P<0.01)。结论腹部皮瓣术后使用固定托装置有助于伤口愈合,减少伤口撕裂和蒂部溃疡的发生,提高护理满意度,值得临床推广。Objective To explore the effect of self-designed fixed support in the postoperative nursing of abdominal flap repair.Methods From January 2016 to December 2019,47 patients with hand tissue defects undergoing abdominal skin flap repair in Shajing People′s Hospital,Guangzhou Medical University were divided into control group(23 cases)and observation group(24 cases)by random digits table method.The control group was treated with traditional methods,and the observation group was treated with self-designed fixed support.The wound healing of abdominal flap,the wound tearing after flap operation,pedicle ulcer after flap operation and the patients'nursing satisfaction were compared between the two groups.Results There were 7 cases of primary healing and 16 cases of secondary healing in the control group,18 cases of primary healing and 6 cases of secondary healing in the observation group.The difference between the two groups was statistically significant(χ^(2) value was 9.368,P<0.01).The incidence rate of the wound tearing after flap operation was 26.1%(6/23)in the control group and 0(0/24)in the observation group.The difference between the two groups was statistically significant(χ^(2) value was 7.177,P<0.05).The incidence rate of pedicle ulcer after flap operation was 69.6%(16/23)in the control group and 33.3%(6/23)in the observation group.The difference between the two groups was statistically significant(χ^(2) value was 6.170,P<0.05).The patients'nursing satisfaction was(76.8±8.4)points in the control group and(90.4±6.5)points in the observation group.The difference between the two groups was statistically significant(t value was-4.640,P<0.01).Conclusions The use of fixed support after the operation of abdominal flap is helpful to the wound healing,reduce the occurrence of wound tear and pedicle ulcer,and improve the satisfaction of nursing,which is worth popularizing.

关 键 词：护理 腹部皮瓣 伤口愈合 伤口撕裂 满意度 

分 类 号：R473.6[医药卫生—护理学]