全局精细管理在断指再植术后患者中的应用  

Application of global fine management in patients with replantation of severed finger

作　　者：王乾博 安宁 WANG Qianbo;AN Ning(Orthopedic Operating Room,the First Affiliated Hospital of Air Force Medical University,Shaanxi,Xi'an 710032,China)

机构地区：[1]中国人民解放军空军军医大学第一附属医院骨科手术室,西安市710032 [2]中国人民解放军空军军医大学第二附属医院门诊部

出　　处：《河北医药》2024年第24期3829-3832,共4页Hebei Medical Journal

摘　　要：目的观察全局精细管理在断指再植术后患者中的应用效果。方法选择2021年2月至2023年3月就治于中国人民解放军空军军医大学第一附属医院的断指再植手术病例90例为观察样本,分组方法采用随机数字表法,分组结果为45例试验组、45例对照组,对照组遵断指再植术后常规模式施护,试验组接受断指再植术后全局精细管理干预,对2组干预后的各观察指标进行比较。结果试验组CPSS评分低于对照组(P<0.05),舒适度评分、TAM评分高于对照组(P<0.05),并发症总发生率低于对照组(P<0.05)。结论将全局精细管理应用于断指再植术后患者之中,利于其心理压力的减低、舒适度的维护、并发症的控制,可取得更佳手功能康复成效。Objective To observe the application effect of global fine management in patients with replantation of severed finger.Methods Ninety cases underwent replantation of severed finger treated in the First Affiliated Hospital of Air Force Medical University from February 2021 to March 2023 were enrolled,they were randomly divided into the control group(routine care model,n=45)and the experimental group(global fine management,n=45).The observation indexes of the two groups were compared.Results Compared with those of the control group,the experimental group had significantly lower Chinese version of perceived Stress Scale(CPSS),higher comfort score,higher Total Active Motion(TAM)score,and lower incidence of complications(all P<0.05).Conclusion The application of global fine management in patients with replantation of severed finger is beneficial to the reduction of psychological pressure,the maintenance of comfort,the control of complications,and the achievement of better hand function rehabilitation.

关 键 词：全局管理 精细管理 断指再植 术后管理 

分 类 号：R658.1[医药卫生—外科学]