前瞻性主动护理模式对四肢开放性骨折并皮肤软组织缺损患者创面修复及功能恢复的影响  

Effect of Prospective Active Nursing Mode on Wound Repair and Functional Recovery in Patientswith Open Fracture of the Extremities and Skin and Soft Tissue Defect

作　　者：梅文佳 MEI Wen-jia(Department of Surgery,Hukou County People's Hospital,Hukou 332500,Jiangxi,China)

机构地区：[1]湖口县人民医院外科,江西湖口332500

出　　处：《医学信息》2024年第14期162-165,共4页Journal of Medical Information

摘　　要：目的 观察前瞻性主动护理模式对四肢开放性骨折并皮肤软组织缺损患者创面修复及功能恢复的影响。方法 选取2019年5月-2022年5月我院接诊的66例四肢开放性骨折并皮肤软组织缺损患者为研究对象,采用随机数字表法分为对照组和观察组,各组33例。对照组应用常规护理,观察组在对照组基础上应用前瞻性主动护理模式,比较两组创面愈合时间、住院时间、创面愈合优良率、并发症发生率、护理满意度及生活自理能力。结果 观察组创面愈合时间、住院时间均短于对照组(P<0.05);观察组创面愈合优良率为90.91%,高于对照组的75.76%(P<0.05);观察组并发症发生率为9.10%,低于对照组的21.21%(P<0.05);观察组护理满意度为96.97%,高于对照组的81.82%(P<0.05);两组干预后生活自理能力评分均高于干预前,且观察组高于对照组(P<0.05)。结论 前瞻性主动护理模式可促进四肢开放性骨折并皮肤软组织缺损患者创面修复,缩短愈合和住院时间,提高愈合优良率,降低并发症发生率,提升护理满意度,促进患者肢体功能恢复。Objective To observe the effect of prospective active nursing mode on wound repair and functional recovery in patients with open fracture of the extremities and skin and soft tissue defect.Methods A total of 66 patients with open fractures of the extremities and skin and soft tissue defects admitted to our hospital from May 2019 to May 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 33 patients in each group.The control group was treated with routine nursing,and the observation group was treated with prospective active nursing mode on the basis of the control group.The wound healing time,hospitalization time,excellent and good rate of wound healing,complication rate,nursing satisfaction and self-care ability were compared between the two groups.Results The wound healing time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The excellent and good rate of wound healing in the observation group was 90.91%,which was higher than 75.76%in the control group(P<0.05).The incidence of complications in the observation group was 9.10%,which was lower than 21.21%in the control group(P<0.05).The nursing satisfaction of the observation group was 96.97%,which was higher than 81.82%of the control group(P<0.05).The score of self-care ability of the two groups after intervention was higher than that before intervention,and that of the observation group was higher than that of the control group(P<0.05).Conclusion Prospective active nursing mode can promote wound repair in patients with open fracture of the extremities and skin and soft tissue defects,shorten healing and hospitalization time,improve the excellent and good rate of healing,reduce the incidence of complications,improve nursing satisfaction,and promote the recovery of limb function in patients.

关 键 词：前瞻性主动护理 四肢开放性骨折 软组织缺损 创面修复 生活自理能力 

分 类 号：R473[医药卫生—护理学]