摘要
目的探讨分析改良式带蒂胸脐皮瓣修复手部深度烧伤的护理中应用针对性护理干预的价值。方法选取2022年3月至2024年3月枣庄市立医院收治的行改良式带蒂胸脐皮瓣修复的手部深度烧伤患者69例,均予以针对性护理干预,观察其对患者康复的影响。结果干预期间有2例患者发生感染,1例患者发生血肿,1例患者发生血管危象,并发症发生率为5.80%。干预3个月后患者手部美观总评分为(5.63±0.98)分。干预3个月后患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分较护理前降低,差异有统计学意义(P<0.05)。干预3个月后患者感觉功能与外观、手部活动、日常活动评分较护理前升高,差异有统计学意义(P<0.05)。干预3个月后患者精简烧伤健康量表(BSHS-2A)评分较干预前升高,差异有统计学意义(P<0.05)。结论改良式带蒂胸脐皮瓣修复手部深度烧伤的护理中应用针对性护理干预能有效预防并发症,获得理想的手部美观效果,并能促进患者心理状态、手功能改善,提高生活质量。
Objective To explore and analyze the value of targeted nursing interventions in the nursing of repairing deep burns in the hand using an improved pedicle thoracoumbilical skin flflap.Methods From March 2022 to March 2024,69 patients with deep burns in the hands who underwent modifified pedicle thoracoumbilical flflap repair in our hospital were selected and given targeted nursing interventions to observe their impact on patient recovery.Results During the intervention period,2 patients developed infections,1 patient developed hematoma,and 1 patient developed vascular crisis,with a complication rate of 5.80%.After 3 months of intervention,the overall score of the patient's hand aesthetics was(5.63±0.98)points.After 3 months of intervention,the patient's Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)scores decreased compared to before nursing,and the difference was statistically signifificant(P<0.05).After 3 months of intervention,the patient's sensory function,appearance,hand activity,and daily activity scores increased compared to before nursing,and the difference was statistically signifificant(P<0.05).After 3 months of intervention,the BSHS-2A score of the patients increased signifificantly compared to before the intervention(P<0.05).Conclusions The application of targeted nursing interventions in the nursing of the modifified pedicled thoracoumbilical skin flflap for repairing deep burns in the hand can effectively prevent complications,achieve ideal hand aesthetic effects,and promote the improvement of patients'psychological state and hand function,thereby enhancing their quality of life.
作者
张康健
龚钰
朱园园
ZHANG Kangjian;GONG Yu;ZHU Yuanyuan(Department of Plastic and Burn Surgery,Zaozhuang Municipal Hospital,Zaozhuang 277100,Shandong Province,China;Department of Hematology,Zaozhuang Municipal Hospital,Zaozhuang 277100,Shandong Province,China)
出处
《中国医疗美容》
2025年第2期80-83,共4页
China Medical Cosmetology
关键词
改良式带蒂胸脐皮瓣修复
手部
深度烧伤
针对性护理
improved pedicle thoracoumbilical flflap repair
hand
deep burns
targeted nursing
