归因分析理论下护理流程再造对创伤性皮肤缺损患者VSD术后并发症的影响  

Effect of Nursing Process Reengineering on Postoperative Complications in Patients with Traumatic Skin Defect with VSD under Attribution Analysis Theory

作　　者：付培[1] 李燕[1] 余红平[1] FU Pei;LI Yan;YU Hongping(Jiujiang NO.1 People's Hospital,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2023年第19期111-114,共4页Medical Innovation of China

摘　　要：目的:探讨归因分析理论下护理流程再造对创伤性皮肤缺损患者负压封闭引流(VSD)术后并发症的影响。方法:选取2020年1月—2022年9月九江市第一人民医院收治的行VSD的创伤性皮肤缺损患者82例,根据随机法将患者分为观察组(n=41)和对照组(n=41)。对照组予以常规干预,观察组予以归因分析理论下护理流程再造干预,均持续干预至患者出院。比较两组患者术后住院时间、换药次数、换导管次数,并记录患者术后并发症发生情况。干预前后,采用自我护理能力测定量表(ESCA)评估两组自护能力。结果:观察组术后住院时间明显短于对照组,换药次数及换导管次数均明显少于对照组(P<0.05);干预后,两组自我护理技能、自护责任感、自我概念和健康知识水平评分均升高,且观察组均明显高于对照组(P<0.05);观察组并发症发生率(2.44%)明显低于对照组(19.51%)(P<0.05)。结论:归因分析理论下护理流程再造有利于缩短创伤性皮肤缺损患者VSD术后住院时间,提高患者自护能力,减少换药次数和并发症发生风险。Objective:To explore the effect of nursing process reengineering on postoperative complications in patients with traumatic skin defect with vacuum sealing drainage(VSD)under attribution analysis theory.Method:A total of 82 patients with traumatic skin defect undergoing VSD admitted to Jiujiang NO.1 People's Hospital from January 2020 to September 2022 were selected and divided into observation group(n=41)and control group(n=41)according to random method.The control group was given routine intervention,and the observation group was given nursing process reengineering intervention under attribution analysis theory,and both of them continued to intervene until the patient was discharged.The postoperative hospital stay,the times of dressing changes and catheter changes were compared between the two groups,and the postoperative complications were recorded.Before and after intervention,the self-care ability of two groups was evaluated with the exercise of self-care agency(ESCA).Result:The postoperative hospital stay in the observation group was significantly shorter than that in the control group,and the times of dressing changes and catheter changes were significantly less than those in the control group(P<0.05).After intervention,the scores of self-care skills,self-care responsibility,self-concept and health knowledge level in the two groups all increased,and those in the observation group were significantly higher than those in the control group(P<0.05).The incidence of complications in the observation group(2.44%)was significantly lower than that in the control group(19.51%)(P<0.05).Conclusion:Nursing process reengineering under attribution analysis theory can shorten the postoperative hospital stay of patients with traumatic skin defect with VSD,and improve the self-care ability,reduce the the times of dressing changes and catheter changes and the risk of complications.

关 键 词：归因分析理论 护理流程再造 创伤性皮肤缺损 负压封闭引流 并发症 

分 类 号：R473.6[医药卫生—护理学]