多途径专项延续管理对断指再植患者生活能力及生活质量的影响  

The Effect of Multi-path Dedicated Continuation Management on the Ability and Quality of Life of Patients with Amputated Fingers

作　　者：班金娇 Ban Jinjiao(Second Department of Hand Microscopy,Tianjin Hospital,Tianjin,300200,China)

机构地区：[1]天津市天津医院手显微二病区,天津300200

出　　处：《黑龙江医学》2023年第18期2282-2285,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨多途径专项延续管理对断指再植患者生活能力及生活质量的影响,为临床提供参考。方法:选取2019年1月—2021年12月天津医院断指再植的60例患者作为研究对象,按照随机数表法分为研究组和对照组,每组各30例。对照组患者采用常规延续护理方式,研究组患者采用多途径专项延续管理。比较两组患者生活能力评分、手功能恢复情况以及生活质量。结果:护理8周后,两组患者生活能力评分显著高于护理前,且研究组生活能力评分显著高于对照组,差异有统计学意义(t=3.309、2.928、4.441、1.784,P<0.05)。研究组手功能评分均高于对照组,差异有统计学意义(t=1.758、2.058、2.333、2.188、2.199、2.048,P<0.05)。护理8周后,两组患者生活质量评分显著高于护理前,且研究组的生活质量评分显著高于对照组,差异有统计学意义(t=3.173、2.251、2.223、2.312,P<0.05)。结论:多途径专项延续管理应用于断指再植患者中可提高患者生活能力,促进手功能恢复,患者具有较高的生活质量。Objective:To explore the impact of multi-path dedicated continuation management on the ability and quality of life of patients with severed fingers reimplantation,and to provide clinical reference.Methods:60 patients with broken fingers reimplanted in hospitals from January 2019 to December 2021 were selected for the study and divided into study group and control group according to the random number table method,with 30 cases in each group.Patients in the control group were managed with conventional extended care and patients in the study group were managed with multiple pathways of specialized extended care.The patients in the two groups were compared in terms of ability to live scores,recovery of hand function and quality of life.Results:After 8 weeks of care,patients in both groups had significantly higher life ability scores than before care,and the study group had significantly higher life ability scores than the control group,with statistically significant differences(t=3.309,2.928,4.441,1.784,P<0.05).Hand function scores were higher in the study group than in the control group,with statistically significant differences(t=1.758,2.058,2.333,2.188,2.199,2.048,P<0.05).After 8 weeks of care,the quality of life scores of both groups were significantly higher than before care,and the quality of life scores of the study group were significantly higher than those of the control group,with statistically significant differences(t=3.173,2.251,2.223,2.312,P<0.05).Conclusion:The application of multi-path dedicated continuation management in patients with amputated fingers can improve patients’ability to live and promote hand function recovery,and patients have a high quality of life.

关 键 词：断指再植术 多途径专项延续管理 生活能力 生活质量 手功能 

分 类 号：R473.6[医药卫生—护理学]