延续性护理对腹部带蒂皮瓣修复手腕部电击伤患者疼痛程度及腕关节功能的影响  

Effects of Continuous Care on Pain Degree and Wrist Function of Patients with Electrical Wrist Injury Repaired with Pedicled Abdominal Flaps

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作  者:孙文佳 SUN Wen-jia(Affliated central hospital of Shenyang medical college,Shenyang,Liaoning 110024)

机构地区:[1]沈阳医学院附属中心医院,辽宁沈阳110024

出  处:《中国伤残医学》2022年第16期30-34,共5页Chinese Journal of Trauma and Disability Medicine

摘  要:讨论延续性护理对腹部带蒂皮瓣修复手腕部电击伤患者疼痛程度及腕关节功能的影响。方法:将本院2019年4月-2021年2月收治的60例腹部带蒂皮瓣修复手腕部电击伤患者随机分为对照组(常规护理指导)与观察组(对照组基础上实施延续性护理) ,各30例。观察指标主要有手指、腕关节及上肢运动功能、疼痛度、生活质量、心理状态、手功能及护理满意度6项指标。结果:护理前2组手指、腕关节及上肢运动功能无统计学意义,P>0.05;护理后观察组手指、腕关节及上肢运动功能水平明显优于对照组,P<0.05。护理前2组疼痛度无统计学意义,P>0.05;护理后观察组疼痛度明显轻于对照组,P<0.05。护理前2组生活质量评分指标对比无统计学意义,P>0.05;护理后观察组生活质量评分均明显高于对照组,P<0.05。护理前2组心理状态评分指标对比无统计学意义,P>0.05;护理后观察组心理状态评分均明显低于对照组,P<0.05。护理前2组手功能评分指标对比无统计学意义,P>0.05;护理后观察组手功能评分均明显高于对照组,P<0.05。观察组护理满意度指标为96.67%,明显高于对照组护理满意度指标的73.33%,P<0.05。结论:延续性护理下可明显改善腹部带蒂皮瓣修复手腕部电击伤患者的手指、腕关节及上肢运动功能,促进疼痛症状的缓解,改善负面情绪,增强手功能,提高生活质量及护理满意度。Objective:To discuss the influence of continuous nursing on the pain degree and wrist joint function of patients with electrical wrist injury repaired with pedicled abdominal flap.Methods:A total of 60 patients with electrical wrist injury repaired with pedicled abdominalflap admitted to our hospital from April 2019 to February 2021 were randomly divided into control group(routine nursing guidance)and research group(continuous nursing based on the control group),30 cases in each.The main observation indexes were finger,wrist and upper limb motor function,pain degree,quality of life,psychological state,hand function and nursing satisfaction.Results:Before nursing,there was no statistical significance in finger,wrist and upper limb motor function in the two groups, P>0.05;After nursing,the motor function of finger,wrist and upper limb in the study group was significantly better than that in the control group, P<0.05.There was no statistical significance in the pain degree of the two groups before nursing, P>O.05;After nursing,the pain degree in the study group was significantly lighter than that in the control group, P<O.05.There was no statistical significance in quality of life score between the two groups before nursing, P>O.05;The quality of life score of the nursing study group was significantly higher than that of the control group, P<O.05.Before nursing,there was no statistical significance in psychological state score index between the two groups, P>0.05;The psychological status score of the nursing study group was significantly lower than that of the control group, P<O.05.There was no statistical significance in hand function score between the two groups before nursing, P>O.05;After nursing,the score of hand function in the study group was significantly higher than that in the control group, P<0.05.The nursing satisfaction index of the study group was 96.67%higher than that of the control group(73.33%), P<0.05.Conclusion:Continuous nursing can significantly improve the motor function of fingers,wrists and

关 键 词:延续性护理 腹部带蒂皮瓣修复 手腕部电击伤 手部 

分 类 号:R473[医药卫生—护理学]

 

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