大面积头皮缺损皮瓣修复围手术期护理信息共享平台的构建及应用  

Construction and application of perioperative nursing information sharing platform for large scalp defect flap repair

作　　者：黄艳艳[1] 许萌[1] 郭焕 HUANG Yan-yan;XU Meng;GUO Huan(Nanyang Central Hospital,Henan Province,473000,China)

机构地区：[1]南阳市中心医院,河南南阳473000

出　　处：《中国医疗美容》2023年第5期47-50,共4页China Medical Cosmetology

摘　　要：目的 探讨皮瓣修复大面积头皮缺损围手术期护理信息共享平台的构建及应用效果。方法 选取2019年2月至2021年10月在某三甲医院接受皮瓣修复整形治疗的94例大面积头皮缺损患者为研究对象,随机将其分为对照组和观察组,每组47例,对照组实施围手术期常规护理,观察组借助医院信息共享平台构建围手术期护理信息共享平台,开展护理。比较两组患者术后皮瓣坏死、皮下积液、皮下血肿、血管痉挛、血栓形成、创面感染等并发症发生率,术后疼痛评分、创面愈合时间、住院天数、瘢痕评分及护理满意度。结果 观察组术后并发症总发生率为6.38%,低于对照组27.66%,差异有统计学意义(χ^(2)=7.532,P=0.006);观察组术后3h、24h、48h VAS疼痛评分均低于对照组,且随术后时间推移,疼痛评分明显下降,在时间、组间、交互方面比较均有统计学意义(P <0.05)。观察组创面愈合时间、住院天数均较对照组短,温哥华瘢痕评估量表(VSS)得分明显较对照组低,组间比较差异均有统计学意义(P <0.05)。观察组患者护理满意度为97.87%,高于对照组82.98%,差异有统计学意义(χ^(2)=4.424,P=0.035)。结论 构建皮瓣修复大面积头皮缺损围手术期护理信息共享平台,借助平台实施系统、全面的围手术期护理,能够有效降低术后并发症发生率,降低术后疼痛程度,促进创面愈合,缩短住院天数,减轻瘢痕形成,提升整体护理质量和护理满意度,值得临床推广应用。Objective To discuss the construction and application effect of the perioperative nursing information sharing platform for repairing large-area scalp defects with skin flaps.Methods A total of 94 patients with large-area scalp defects who underwent skin flap repair and plastic surgery in a tertiary hospital from February 2019 to October 2021 were selected as the research objects,and they were randomly divided into a control group and an observation group,with 47 cases in each group,and the control group To implement routine perioperative nursing care,the observation team used the hospital information sharing platform to build a perioperative nursing information sharing platform to carry out nursing.The incidence of postoperative complications such as skin flap necrosis,subcutaneous effusion,subcutaneous hematoma,vasospasm,thrombosis,wound infection,postoperative pain score,wound healing time,hospitalization days,scar score and nursing satisfaction were compared between the two groups of patients.Results The total incidence of postoperative complications in the observation group was 6.38%,which was lower than 27.66%in the control group.The difference was statistically significant(-7.532,P-0.006);the observation group had low VAS pain scores at 3h,24h,and 48h after surgery In the control group,the pain score decreased significantly with the passage of time after the operation,and the comparison of time,between groups,and interaction was statistically significant(P<0.05).The wound healing time and hospital stay of the observation group were shorter than those of the control group.The Vancouver Scar Assessment Scale(VSS)score was significantly lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).The nursing satisfaction of patients in the observation group was 97.87%,which was higher than 82.98%in the control group,and the difference was statistically significant(c2-4.424,P-0.035).Conclusion Constructing a perioperative nursing information sharing platform

关 键 词：皮瓣修复 头皮缺损 信息共享平台 构建 围手术期护理 并发症 

分 类 号：R473.6[医药卫生—护理学]