护理多学科团队急救护理路径对深Ⅱ度烧伤患者疼痛程度及术后恢复影响  

Effect of emergency nursing pathway of multidisciplinary team on pain degree and postoperative recovery of patients with deep second-degree burn

作　　者：李银芳[1] 陈彦锋[2] 陈铮[3] LI Yin-fang;CHEN Yin-feng;CHEN Zheng(Department of Reproductive Burn,Luohe First People's Hospital(Luohe Central Hospital),Henan Province,462300,China;Luohe Medical College,Henan Province,462000,China;Department of Burn and Plastic Surgery,Luohe First People's Hospital(Luohe Central Hospital),Henan Province,462300,China)

机构地区：[1]漯河市第一人民医院[漯河市中心医院]生殖烧伤全科,河南漯河462300 [2]漯河医学高等专科学校,河南漯河462000 [3]漯河市第一人民医院[漯河市中心医院]烧伤整形科,河南漯河462300

出　　处：《中国医疗美容》2023年第9期65-68,共4页China Medical Cosmetology

摘　　要：目的 探讨护理多学科团队急救护理路径对深Ⅱ度烧伤患者疼痛程度及术后恢复的影响。方法 选取对象:我院收治的深Ⅱ度烧伤患者130例,选例时间:2020年12月至2022年12月,,均给予护理多学科团队急救护理路径并进行持续2个月的随访。观察所有患者的抢救时效、疼痛程度、生活质量及并发症发生情况。结果 经与护理前比,护理后的会诊医师到诊时间、急诊检查时间以及急诊清创时间均更短;经与护理前比,护理后的轻度及以下疼痛的患者占比升高,重度占比降低;经与护理前比,患者护理后的SF-36各项评分均呈现升高趋势,差异有统计学意义(P<0.05)。患者护理前后的中度占比经计算,差异无统计学意义(P>0.05)。护理期间所有患者中发生肺部感染、应激性溃疡各1例,并发症总发生率为3.08%(2/65)。结论护理多学科团队急救护理路径应用于深Ⅱ度烧伤患者可明显减轻其疼痛程度,提高抢救时效及生活质量,同时降低并发症风险,进而利于其术后恢复。Objective To investigate the effect of emergency nursing path of multidisciplinary nursing team on pain degree and postoperative recovery of patients with deep second-degree burn.Methods Selected subjects:130 patients with deep seconddegree burn admitted to our hospital from December 2020 to December 2022,all of whom were given emergency nursing paths by multidisciplinary nursing team and followed up for 2 months.The duration of rescue,pain degree,quality of life and complications of all patients were observed.Results Compared with before nursing,the time of consultant's arrival,emergency examination and emergency debridement were shorter after nursing.After nursing,the proportion of patients with mild or lower pain increased and the proportion of patients with severe pain decreased.Compared with before nursing,all SF-36 scores of patients after nursing showed an increasing trend,The difffferences were statistically signifificant(P<0.05).The proportion of moderate patients before and after nursing was calculated,The difffference was not statistically signifificant(P>0.05).During nursing,pulmonary infection and stress ulcer occurred in 1 patient each,and the total complication rate was 3.08%(2/65).Conclusion The application of multidisciplinary team emergency nursing pathway in deep second-degree burn patients can signifificantly reduce their pain,improve rescue time and quality of life,and reduce the risk of complications,which is conducive to postoperative recovery.

关 键 词：烧伤 深Ⅱ度 多学科团队 急救护理路径 疼痛程度 术后恢复 

分 类 号：R473.6[医药卫生—护理学]