快速康复外科理念护理在手足外伤皮瓣转移修复患者围术期护理中的应用效果  

The Application Effect of Rapid Rehabilitation Surgical Concept Nursing in Perioperative Nursing Care of Patients with Hand and Foot Trauma Flap Transfer Repair

作　　者：曹静 黄小英 CAO Jing;HUANG Xiaoying(Department of Hand and Foot Surgery,General Universal China Railway Pizhou Hospital,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]通用环球中铁邳州医院手足外科,江苏邳州221300

出　　处：《中外医疗》2024年第5期182-185,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨在手足外伤皮瓣转移修复患者围术期护理中应用快速康复外科理念护理的效果。方法 方便选取2019年2月—2023年9月于通用环球中铁邳州医院行皮瓣转移修复术治疗的82例手足外伤患者为研究对象,按随机数表法分为两组,各41例。对照组行围术期常规护理,观察组行围术期快速康复外科理念护理,对比两组患者术后肿胀消失与皮瓣愈合时间、术后疼痛评分、并发症发生率与护理满意度。结果 观察组肿胀消失时间、皮瓣愈合时间分别为(2.04±0.13)、(15.62±1.44)d,均短于对照组,差异有统计学意义(t=16.726、16.407,P均<0.05);观察组术后患者12、24、72 h与出院时疼痛评分均低于对照组,差异有统计学意义(P均<0.05);与对照组相比,观察组术后并发症更少,护理满意度高,差异有统计学意义(P均<0.05)。结论快速康复外科理念护理运用于手足外伤皮瓣转移修复患者围术期护理中的效果显著,能够减轻患者术后疼痛,缩短患者术后康复时间并降低并发症发生率,利于护患关系的良好维持。Objective To explore the effect of the application of rapid rehabilitation surgical concept nursing in the perioperative care of patients with hand and foot trauma flap transfer repair.Methods A total of 82 patients with hand-foot trauma who were treated with skin flap transfer and restoration in General Universal China Railway Pizhou Hospital from February 2019 to September 2023 were conveniently selected as the study objects,and they were divided into two groups according to random number table method,with 41 cases in each group.The control group received perioperative routine nursing,and the observation group received perioperative rapid rehabilitation surgical nursing.The time of postoperative swelling disappearance and flap healing,postoperative pain score,complication rate and nursing satisfaction were compared between the two groups of patients.Results The time of swelling disappearance and flap healing in the observation group were(2.04±0.13)and(15.62±1.44)d,respectively,which were shorter than those in the control group,and the differences were statistically significant(t=16.726,16.407,both P<0.05).The pain scores of patients in the observation group at 12,24,72 h after surgery and at discharge were lower than those in the control group,and the differences were statistically significant(all P<0.05).Compared with the control group,the observation group had fewer postoperative complications and higher nursing satisfaction,and the differences were statistically significant(both P<0.05).Conclusion The effect of rapid rehabilitation surgical concept of nursing care in perioperative care of patients with hand and foot trauma flap transfer repair is remarkable,which can reduce patients'postoperative pain,accelerate patients'postoperative recovery time and reduce complications,in order to facilitate the maintenance of a good nurse-patient relationship.

关 键 词：手足外伤 皮瓣转移修复术 围术期护理 快速康复外科理念护理 疼痛程度 

分 类 号：R4[医药卫生—临床医学]