舒适护理在手外伤皮瓣移植术中应用效果.docVIP

舒适护理在手外伤皮瓣移植术中应用效果 　　[摘要] 目的 分析手外伤皮瓣移植术患者采用舒适护理的应用效果。 方法 回顾性分析2014年1月～2015年3月在我院给予皮瓣移植术治疗的手外伤患者74例的临床资料，其中31例采用常规护理为对照组，43例采用舒适护理为研究组，评价两组患者自理能力、术后生活质量、对相关健康教育的掌握情况、术后疼痛情况、并发症情况、住院天数及住院费用以及护理满意度。 结果 研究组并发症发生率低于对照组，差异有统计学意义（P0.05或P0.01）。干预后，研究组患者疼痛程度显著低于对照组（P0.01）。研究组出院时Barthel指数评分显著高于对照组，差异有高度统计学意义（P0.01）。研究组患者出院时生活质量得分均显著高于对照组，差异有高度统计学意义（P0.01）。研究组健康知识掌握优良率显著高于对照组，差异有统计学意义（P0.05）。研究组平均住院时间显著短于对照组，平均住院费用显著少于对照组，差异均有高度统计学意义（P0.01）。研究组患者护理满意率达100.0%，显著高于对照组，差异有高度统计学意义（P0.01）。 结论 手外伤皮瓣移植术患者采用舒适护理，能够减少术后并发症发生率，提高患者生活质量，改善患者日常生活能力，提高患者护理满意度。 　　[关键词] 手外伤；皮瓣移植术；舒适护理；Barthel指数 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2015）32-0144-04 　　[Abstract] Objective To discuss the effect of comfort care for hand injury skin flap. Methods Clinical data of 74 cases with hand injury skin flap from Jan 2014 to Mar 2015 were respectively analyzed. 31 cases of control group were treated with routine care， and 43 cases of study group were treated with comfort care. Self-care ability， postoperative quality of life， mastering of related health education， postoperative pain， complications， length of hospital stay， hospital costs and care satisfaction of two groups were compared. Results Complication rate of study group was lower than control group（P0.01）. Barthel index of study group was higher than control group（P0.01）. Quality of life in study group was higher than control group（P0.01）. Excellent rate of mastering of related health education of study group was higher than control group（P0.05）. The average length of stay and average hospitalization expenses of study group was less than control group（P0.01）. Nursing satisfaction rate of study group was 100.0%， which was higher than control group（P0.01）. Conclusion Comfort care for hand injury skin flap can reduce complications， improve quality of life， ADL， nursing satisfaction. 　　[Key words] Hand injury； Skin flap； Comfort care； Barthel index 　　手在日常生活中和工作中是最常用到的重要器官，而手在大多情况下没有保护，并且在紧急情况下，人们反射性用手支撑、扶持，因此，其是最容易受伤的部位。严重的手外伤后，因手部变形或者功能受到