多元化护理对行负压封闭引流术的手足外伤创面患者功能康复和生活质量的影响  

Effects of diversified nursing on functional rehabilitation and quality of life of patients with hand and foot trauma undergoing vacuum sealing drainage

作　　者：金丽晨 张莹[1] 杨皓珺[1] JIN Lichen;ZHANG Ying;YANG Haojun(Department of Plastic Cosmetology Surgery,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学附属同济医院整形美容外科,上海200065

出　　处：《外科研究与新技术》2024年第1期83-86,共4页Surgical Research and New Technique

摘　　要：目的探讨多元化护理对行负压封闭引流(VSD)术的手足外伤创面患者功能康复和生活质量的影响。方法选择本院于2022年6月—2023年4月期间收治的行VSD术治疗的112例手足外伤创面患者,以随机数字表法分为观察组和对照组,每组各56例。对照组患者应用常规护理进行干预,观察组患者采用多元化护理进行干预,比较两组患者功能恢复情况,在情感指数、生活满意度、健康指数等方面的生活质量评分以及发生感染、关节僵硬、皮肤表面毛囊炎等并发症情况。结果干预后观察组患者功能恢复优31例、良23例、差2例,优良率为96.4%,高于对照组的78.6%(P<0.05)。两组患者干预前在健康指数、情感指数和生活满意度方面的生活质量评分的差异均无统计学意义(P>0.05),干预后上述评分均有不同程度提升,且观察组患者各指标评分均高于对照组(P<0.05)。在并发症方面,观察组仅出现1例感染和1例关节僵硬,并发症发生率为3.6%,明显低于对照组患者30.4%的并发症发生率(P<0.05)。结论采用多元化护理对行VSD术的手足外伤创面患者进行干预,有助于促进患者创面功能康复,减少并发症的发生,提高生活质量。Objective To investigate the effects of diversified nursing on functional rehabilitation and quality of life in patients with hand-foot trauma who underwent vacuum sealing drainage(VSD).Methods A total of 112 patients with hand and foot trauma treated with VSD in our hospital from June 2022 to April 2023 were selected and divided into an observation group(56 cases)and a control group(56 cases)by random number table method.Patients in the control group received routine nursing intervention,while patients in the observation group received diversified nursing intervention.The functional recovery,quality of life scores(emotion index,life satisfaction index,and health index),and complications(such as infection,joint stiffness,and folliculitis)were compared between the two groups.Results After intervention,31 patients in the observation group had excellent functional recovery,23 cases were good,and 2 cases were poor.The excellent and good rate was 96.4%in the observation group,which was higher than 78.6%in the control group(P<0.05).There was no difference in the health index,emotion index,and life satisfaction index between the two groups of patients before intervention(P>0.05),but after intervention,the scores of all indicators in the observation group were higher than those in the control group(P<0.05).In terms of complications,only 1 case of infection and 1 case of joint stiffness occurred in the observation group,with a complication rate of 3.6%,which was significantly lower than that of 30.4%in the control group(P<0.05).Conclusion The use of diversified nursing for the intervention of patients with hand and foot trauma after VSD is helpful to promote the functional rehabilitation,reduce the occurrence of complications,and improve the quality of life.

关 键 词：多元化护理 负压封闭引流 手足外伤创面 功能恢复 生活质量 

分 类 号：R473.6[医药卫生—护理学]