以问题为导向的护理策略在四肢创伤皮瓣修复术后患者中的应用效果及对心理状态、患肢功能恢复的影响  

Application effect of problem-oriented nursing strategy in patients after limb trauma flap repair surgery and its influences on psychological state and affected limb function recovery

作　　者：王艳 任亮亮 WANG Yan;REN Liangliang(Xi'an Fengcheng Hospital,Xi'an 710016,China)

机构地区：[1]西安凤城医院,陕西西安710016

出　　处：《临床医学研究与实践》2023年第31期164-168,共5页Clinical Research and Practice

摘　　要：目的探讨以问题为导向的护理策略在四肢创伤皮瓣修复术后患者中的应用效果。方法选取2020年1月至2021年1月在本院接受皮瓣修复术治疗的68例四肢创伤患者为研究对象,通过随机数字表法将其分为对照组和观察组,每组34例。对照组实施常规护理,观察组实施以问题为导向的护理策略。比较两组的心理状态、并发症发生情况、皮瓣恢复情况及患肢功能恢复情况。结果护理后,两组的正性情绪评分均升高,负性情绪评分均降低,且观察组优于对照组(P<0.05)。观察组的并发症总发生率为5.88%,低于对照组的23.53%(P<0.05)。术后72 h,两组皮瓣的疼痛、颜色、温度、毛细血管充盈反应评分均降低,且观察组低于对照组(P<0.05)。术后21 d,两组的上肢运动功能、下肢运动功能评分均升高,且观察组高于对照组(P<0.05)。结论以问题为导向的护理策略在四肢创伤皮瓣修复术后患者中的应用效果较好,可有效改善其心理状态,降低并发症发生率,提高移植皮瓣及患肢功能的恢复效果。Objective To explore the application effect of problem-oriented nursing strategy in patients after limb trauma flap repair surgery.Methods A total of 68 patients with limb trauma who underwent flap repair surgery in our hospital from January 2020 to January 2021 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 34 cases in each group.The control group was given routine nursing,while the observation group was given problem-oriented nursing strategy.The psychological state,complications,flap recovery and affected limb function recovery of the two groups were compared.Results After nursing,the positive emotion score of the two groups increased,the negative emotion scores decreased,and those in the observation group were better than the control group(P<0.05).The total incidence of complications in the observation group was 5.88%,which was lower than 23.53% in the control group(P<0.05).At 72 h after operation,the scores of pain,color,temperature and capillary filling reaction of the flaps in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).At 21 d after operation,the scores of upper limb motor function and lower limb motor function in the two groups increased,and those in the observation group were higher than the control group(P<0.05).Conclusion The problem-oriented nursing strategy has a good application effect in patients after limb trauma flap repair surgery,which can effectively improve their psychological state,reduce the incidence of complications,and improve the recovery effect of transplanted flap and affected limb function.

关 键 词：以问题为导向 护理 四肢创伤 皮瓣修复术 心理状态 患肢功能 

分 类 号：R473.6[医药卫生—护理学]