1例手掌离断足背寄养Ⅱ期联合游离皮瓣回植患者的护理  

Nursing Care of 1 Case with Dorsal Pedicle ParasitismⅡCombined with Free Flap Reimplantation in a Dissected Palm of the Hand

作　　者：张新兰 王春燕 周洪翔[1] 李伦兰[1] Zhang Xinlan;Wang Chunyan;Zhou Hongxiang(The First Affiliated Hospital of Anhui Medical University,Anhui,Hefei,230022,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230022

出　　处：《黑龙江医学》2024年第3期365-367,共3页Heilongjiang Medical Journal

基　　金：安徽高校自然科学研究项目(KJ2020ZD18)。

摘　　要：目的:探讨手掌离断足背寄养Ⅱ期联合游离皮瓣回植的护理方法,总结护理经验,以期为临床专科护理提供借鉴和参考。方法:回顾性分析2021年9月安徽医科大学第一附属医院收治的1例左手掌自第2、3、4、5掌骨近端完全离断,并且肢体近端组织严重毁损伤患者的病历资料,采用左足背异位寄养Ⅱ期回植进行治疗。针对寄养和回植术后不同阶段实施有效的护理干预,包括精细化对症管理、以镇静目标为导向的程序化镇痛、焦点式心理护理、协同护理模式干预康复锻炼等有针对性的护理措施。结果:再植手掌成活良好,经系统康复训练后,功能恢复满意。结论:通过对手掌离断足背寄养Ⅱ期联合游离皮瓣回植患者实施优质的护理管理,细化护理方案,勇于创新开展特色护理,患者再植手掌成活良好,部分手功能恢复令人满意,充分体现了护士的专业价值,提升了护理质量和患者满意度。Objective:To discuss the nursing method of the dorsal pedicle parasitism II combined with free flap replantation for palm dissection,and to summarize the nursing experience,with a view to providing lessons and references for clinical specialty nursing.Methods:The medical records of 1 patient admitted to the hospital in September 2021 with complete disarticulation of the left metacarpal from the proximal ends of the 2nd,3rd,4th,and 5th metacarpal bones and severe disfigurement of the proximal tissues of the limb were retrospectively analyzed.The treatment was carried out using stage II reimplantation of left dorsalis pedis ectopic fosterage.Effective nursing interventions were implemented for different stages of the postoperative period after parasitism and replantation,including targeted nursing measures such as refined symptomatic management,procedural analgesia oriented to sedation goals,focused psychological care,and rehabilitation exercises intervened by collaborative care model.Results:The replanted palm survived well and recovered function satisfactorily after systematic rehabilitation training.Conclusion:Through high-quality nursing management,refinement of the nursing program,and the courage to innovate to carry out special nursing care,it can reflect the professional value of nurses and improve the quality of care and patient satisfaction.

关 键 词：手掌离断 寄养 回植 护理 

分 类 号：R473.6[医药卫生—护理学]