预见性护理在烧伤整形植皮患者术后恢复中的应用价值研究
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摘要
目的:预见性护理在烧伤整形植皮患者术后恢复中的应用价值。方法:选取2016年4月-2017年4月本院收治的86例烧伤整形植皮手术患者为受试对象,按照随机数字表法将其分为研究组与对照组,各43例。对照组给予常规护理,研究组采用预见性护理。比较两组护理期间创面愈合、发热消失、血小板计数恢复正常时间,护理8 d后的植皮后创面覆盖率、皮下血肿个数,护理6个月后瘢痕指数(SCAR量表)及并发症情况。结果:护理期间,研究组创面愈合、发热消失、血小板计数恢复正常时间均明显少于对照组(P<0.05);护理8 d后,研究组植皮后创面覆盖率明显高于对照组,皮下血肿个数明显少于对照组,差异均有统计学意义(P<0.05);护理6个月后,研究组SCAR量表得分、并发症发生率均明显低于对照组(P<0.05)。结论:烧伤整形植皮患者术后进行预见性护理,可加快患者痊愈时间、降低并发症的发生风险。
Objective:To explore the application value of predictive nursing in postoperative recovery of patients with burn plastic skin grafting.Method:A total of 86 patients with burn plastic skin grafting from April2016 to April 2017 in our hospital were selected as subjects.According to the random number table method,they were divided into study group and control group,43 cases in each group.The control group was given routine nursing,while study group was given predictive nursing.The time of wound healing,fever disappearing and platelet count returning to normal during nursing,the wound coverage rate and the number of subcutaneous hematomas after 8 days of nursing,scar index(SCAR)and complications after 6 months of nursing between two groups were compared.Result:During nursing,the time of wound healing,fever disappearing and platelet count returning to normal in study group were significantly shorter than those of control group(P<0.05).After 8 days of nursing,the wound coverage rate of study group was significantly higher than that of control group,the number of subcutaneous hematoma was significantly less than that of control group,the differences were statistically significant(P<0.05).After 6 months of nursing,the SCAR score and the incidence of complications in study group were significantly lower than those of control group(P<0.05).Conclusion:Predictive nursing for patients with burn plastic skin grafting can speed up the recovery time and reduce the risk of complications.
Objective:To explore the application value of predictive nursing in postoperative recovery of patients with burn plastic skin grafting.Method:A total of 86 patients with burn plastic skin grafting from April2016 to April 2017 in our hospital were selected as subjects.According to the random number table method,they were divided into study group and control group,43 cases in each group.The control group was given routine nursing,while study group was given predictive nursing.The time of wound healing,fever disappearing and platelet count returning to normal during nursing,the wound coverage rate and the number of subcutaneous hematomas after 8 days of nursing,scar index(SCAR)and complications after 6 months of nursing between two groups were compared.Result:During nursing,the time of wound healing,fever disappearing and platelet count returning to normal in study group were significantly shorter than those of control group(P<0.05).After 8 days of nursing,the wound coverage rate of study group was significantly higher than that of control group,the number of subcutaneous hematoma was significantly less than that of control group,the differences were statistically significant(P<0.05).After 6 months of nursing,the SCAR score and the incidence of complications in study group were significantly lower than those of control group(P<0.05).Conclusion:Predictive nursing for patients with burn plastic skin grafting can speed up the recovery time and reduce the risk of complications.
引文
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[17]张艳.预见性护理对长期卧床老人压疮风险的影响研究[J].实用临床医药杂志,2017,21(2):142-143.
[18]卢世萍,胡德林.预见性护理措施对手背深度烧伤手术植皮及术后功能的影响[J].中华疾病控制杂志,2013,17(7):602-604.
[19]谢丽英,刘文阳.预见性护理在防治面颈部烧伤患儿上呼吸道梗阻中的应用[J].中国实用护理杂志,2014,30(8):46-47.
[20]陈文健,林邦长,徐陆亚运,等.烧伤患者创面感染相关因素分析及预防措施[J].中华医院感染学杂志,2017,27(23):5411-5413.
[21]胡祎,刘忆菁,邸英莲,等.早期综合护理干预减轻手烧伤患者瘢痕严重程度的效果[J].解放军护理杂志,2015,32(11):58-60.
[2]刘伟峰.大面积烧伤患者皮肤替代物的研究进展[J].中国医师杂志,2016,18(6):957-960.
[3]丁菲菲,蒙诚跃,贾文波,等.面部皮肤移植手术56例临床观察[J].广西医科大学学报,2015,32(5):807-809.
[4]中华医学会.临床诊疗指南:烧伤外科学分册[M].北京:人民卫生出版社,2007.
[5]张文浩,周莉萍,张志华,等.扩创植皮联合负压封闭引流治疗烧伤患者后期感染难愈创面[J].中华烧伤杂志,2014,30(4):365-367.
[6]刘彩虹,郭馨云.大面积烧伤患者肠内营养支持治疗[J].临床军医杂志,2013,41(1):101.
[7]范智凌,谢玉国,陈伟鹏.四肢烧伤创面切削痂植皮术中预见性穿支血管止血效果分析[J].蚌埠医学院学报,2016,41(1):66-68.
[8]邱啸臣,廖青玲,刘真,等.大面积烧伤患者休克期静脉补液的研究进展[J].大连医科大学学报,2013,35(2):178-182.
[9]施晓晓,汤諹.瘢痕评估量表的文献复习[J].中国皮肤性病学杂志,2014,28(5):527-529.
[10]杨帆,姚忠军,周伟,等.重度烧伤患者休克期感染防治的临床研究[J].中华医院感染学杂志,2015,25(2):390-392.
[11]陈忠江,雷晋,段鹏,等.自体网状皮移植生物敷料覆盖术后体液渗出的对比研究[J].山西医药杂志(下半月刊),2013,42(1):81-82.
[12]于晓锋,陶仁清.严重烧伤急性感染期创面菌种调查与分析[J].安徽医学,2014,35(5):662-664.
[13]张建利,姜英令.大面积烧伤中晚期感染创面的修复[J].山东医药,2015,55(11):57-59.
[14]郭建军,游贵方,袁淑兰,等.超前护理目标干预在抢救危重烧伤延迟复苏病人中的应用[J].护理研究,2016,30(26):3287-3289.
[15]彭兵,潘洪静.预见性护理对皮肤疾病反复发作患者的影响[J].检验医学与临床,2015,12(2):282-283.
[16]王雪妹,宋娟,侯建红.预见性护理在ICU失禁患者相关性皮炎预防中的应用[J].实用临床医药杂志,2015,19(14):135-136.
[17]张艳.预见性护理对长期卧床老人压疮风险的影响研究[J].实用临床医药杂志,2017,21(2):142-143.
[18]卢世萍,胡德林.预见性护理措施对手背深度烧伤手术植皮及术后功能的影响[J].中华疾病控制杂志,2013,17(7):602-604.
[19]谢丽英,刘文阳.预见性护理在防治面颈部烧伤患儿上呼吸道梗阻中的应用[J].中国实用护理杂志,2014,30(8):46-47.
[20]陈文健,林邦长,徐陆亚运,等.烧伤患者创面感染相关因素分析及预防措施[J].中华医院感染学杂志,2017,27(23):5411-5413.
[21]胡祎,刘忆菁,邸英莲,等.早期综合护理干预减轻手烧伤患者瘢痕严重程度的效果[J].解放军护理杂志,2015,32(11):58-60.