应激系统理论为指导的护理干预在足踝部软组织缺损皮瓣移植修复术患者中的应用  

Application and Influence of Nursing Intervention Guided by Stress System Theory in Patients with Flap Graft Repair of Ankle

作　　者：齐珊珊 曹新会 杨卫娟 QI Shan-shan;CAO Xin-hui;YANG Wei-juan(The First Department of Lower extremities,Zhengzhou Orthopaedic Hospital,Henan Province 450000,China)

机构地区：[1]郑州市骨科医院下肢一科,河南郑州450000

出　　处：《中国医疗美容》2024年第6期87-90,共4页China Medical Cosmetology

摘　　要：目的探讨应激系统理论为指导的护理干预在足踝部软组织缺损皮瓣移植修复术患者中的应用及影响。方法以郑州市骨科医院在2021年7月-2023年7月期间内收治的80例行FTRS治疗的足踝部软组织缺损患者为研究对象,按护理方法不同分为对照组与观察组,每组40例,对照组给予常规术后护理,观察组给予应激系统理论为指导的护理干预。评价比较两组患者的抗应激能力、修复效果以及足踝功能。结果术后30d时,观察组患者的抗应激能力指标评分显著高于对照组(P<0.05)。观察组温哥华瘢痕评估量表指标评分均低于对照组(P<0.05);观察组美国整形外科足踝协会的足踝量表指标评分均高于对照组(P<0.05)。结论应激系统理论为指导的护理干预可增强行FTRS治疗的足踝部软组织缺损患者的抗应激能力,同时提高手术修复效果,加快瘢痕恢复速度,有效改善其足踝功能。Objective To explore the application and impact of nursing interventions guided by the stress system theory in patients undergoing Flap Transplantation and Reconstruction Surgery(FTRS)for soft tissue defects in the ankle.Methods A total of 80 patients with soft tissue defects in the ankle treated with FTRS at the Orthopedic Hospital of Zhengzhou City from July 2021 to July 2023,were randomly divided into a control group and an observation group,with 40 cases in each group.The control group received routine nursing care,while the observation group received nursing interventions guided by the stress system theory.The stress resistance,repair effects,and ankle function of the two groups of patients were evaluated and compared.Results At postoperative day 30,the stress resistance scores of the observation group were signifificantly higher than those of the control group(P<0.05).The Vancouver Scar Scale scores in the observation group were lower than those in the control group(P<0.05),and the Ankle-Hindfoot Scale of the American Orthopaedic Foot and Ankle Society scores in the observation group were higher than those in the control group(P<0.05).Conclusion Nursing interventions guided by the stress system theory can enhance the stress resistance of patients with soft tissue defects in the ankle undergoing FTRS,improve surgical repair outcomes,accelerate scar recovery,and effectively enhance ankle function.

关 键 词：应激系统理论 足踝部软组织缺损 皮瓣移植修复术 抗应激能力 瘢痕 足踝功能 

分 类 号：R473.6[医药卫生—护理学]