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  • 临床护理路径在手外科负压封闭引流护理中的应用及对患者并发症发生的影响

临床护理路径在手外科负压封闭引流护理中的应用及对患者并发症发生的影响

作者:未知

  【摘要】 目的:探讨临床护理路径在手外科负压封闭引流(VSD)护理中的应用及对患者并发症发生的影响。方法:选取2017年1月-2018年1月本院收治的50例手外科行VSD患者,按随机数字表法分为对照组与研究组,各25例。对照组进行常规护理,研究组进行临床护理路径护理。比较两组护理满意度、健康促进方式、自我护理能力、并发症发生率和手功能。结果:研究组护理满意度高于对照组(P<0.05);研究组各项健康促进方式和自我护理能力评分均优于对照组(P<0.05)。干预前,两组健侧与患侧手功能比较,差异均无统计学意义(P>0.05);干预后,研究组患侧手功能优于对照组(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。研究组疼痛评分、住院费用和时间均少于对照组(P<0.05)。结论:对手外科VSD患者进行临床护理路径护理,可有效改善患者手功能,提高健康促进方式和自我护理能力,降低了并发症发生率,缩短了住院时间,降低了住院费用,患者满意度高。因此,在手外科VSD中,临床护理路径应进一步推广和应用。
  【关键词】 临床护理路径 手外科 负压封闭引流
  [Abstract] Objective: To explore the clinical nursing path in hand surgery vacuum sealing drainage (VSD) nursing and the effect of complications. Method: A total of 50 cases of hand surgery VSD patients admitted to our hospital from January 2017 to January 2018 were selected and divided into control group and research group according to the random number table method, 25 cases in each group. The control group was given routine nursing, and the research group was given clinical nursing path. Nursing satisfaction, health promotion mode, self-care ability, complication rate and hand function were compared between the two groups. Result: The nursing satisfaction of the research group was higher than that of the control group (P<0.05). The all scores of health promotion mode and self-care ability of the research group were better than those of the control group (P<0.05). Before intervention, there was no statistically significant difference in the hand function of the healthy and affected side between the two groups (P>0.05). After intervention, the affected side hand function of the research group was better than that of the control group (P<0.05). The complication rate of the research group was lower than that of the control group (P<0.05). Pain score, hospitalization expenses and time were shorter than those of the control group (P<0.05). Conclusion: For patients with hand surgery VSD, clinical nursing path nursing can effectively improve the hand function of patients, improve the mode of health promotion and self-care ability, reduce the incidence of complications, shorten the length of hospital stay, reduce the cost of hospital stay and achieve high patient satisfaction. Therefore, the clinical nursing pathway should be further popularized and applied in the VSD of hand surgery.
  相关报道表明,随着工业企业和机械化企业的不断增多,手外伤发生率也不断上升[1]。手外伤对患者正常生活造成了严重影响,因此应探讨有效治疗方式对患者进行治疗,负压封闭引流(VSD)是临床上应用比较广泛的一种治疗方法,可有效避免感染现象的发生,降低患者疼痛,改善患者病情[2]。但是患者在手术过程中会出现一系列不良情绪,例如害怕、恐惧和紧张等,对患者临床治疗产生了非常不利影响[3]。因此,在治疗基础上应进行有效的护理干预,临床护理路径在手外科负压封闭引流护理中的应用是当前临床上关注的热点。该护理模式是为特殊患者制定的一种干预措施,可对患者进行有效的心理、饮食和出院指导,有利于患者病情恢复[4-5]。本研究主要围绕临床护理路径在手外科VSD護理中的应用及对患者并发症发生的影响进行探讨,现报道如下。   [12] Kump P,Hassan C,Spada C,et al.Endoscopic negative-pressure therapy for duodenal leakage using new open-pore film and polyurethane foam drains with the pull-through technique[J].Endoscopy,2017,49(12):300-302.
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  (收稿日期:2019-05-09) (本文編辑:田婧)
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