摘要
目的探讨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。方法选择2009年1月～2012年10月入住安徽医科大学第一附属医院的手背部深度烧伤患者30例作为治疗组,在手术治疗的同时,围手术期应用预见性护理措施;选择2009年前入住该院的30例手背部深度烧伤患者作为对照组,手术治疗的同时,围手术期未应用预见性护理措施。观察两组患者手术植皮成活及皮片下血肿情况、伤后半年手部创面愈合后的瘢痕指数(scar index,SI)和平均手指关节总活动度(total angle of motion,TAM)。结果治疗组患者手术后创面植皮成活及覆盖创面情况高于对照组,皮片下血肿少,差异均有统计学意义(均有P<0.001);伤后半年,治疗组SI为(5.15±1.61),对照组SI为(9.76±2.48),治疗组好于对照组,差异有统计学意义(P<0.001);伤后半年,治疗组TAM为(207°±36°),对照组TAM为(138°±47°),治疗组好于对照组,差异有统计学意义(P<0.001)。结论预见性护理措施在手背部深度烧伤围手术期的应用,能有效提高手术皮片成活率,改善手背部深度烧伤的手功能。
Objective To evaluate the influence of predictive nursing care on skin autograft and the recovery func- tion of deep burned hand in burn patients. Methods 30 patients with deep burned hand were regarded as the treated group in our department from January 2009 to October 2012. Patients were applied for the predictive nursing care in the treated group. 30 patients with deep burned band were regarded as the control group in our department before 2009. Patients were treated for the traditional treatment measure in the control group. The clinical effects of patients were observed in two groups. Results The percentage of wound covered in the treated group was higher than those in the control group. Difference is statistically significant between two groups. Scar Index was （5. 15 ± 1.61 ）in the treatment group, which was significantly lower than that of the control group（ P 〈 0. 001 ）. Total angle of motion （ TAM ） was （207°± 36° ） in the treat- ment group, which was significantly higher than that of the control group （P 〈 0. 001 ）. Conclusions Measure of predic- tive nursing care is feasible and effective measure to increase the rate of skin autograft and recover function of burned hand for patients with deep burned hand.
出处
《中华疾病控制杂志》
CAS
北大核心
2013年第7期602-604,共3页
Chinese Journal of Disease Control & Prevention
基金
安徽省卫生厅科研基金(2009A067)
关键词
烧伤
围手术期护理
手
Burns
Perioperative nursing
Hand
作者简介
卢世萍（1971-），女，安徽金寨人，主管护师，学士。主要研究方向：烧伤手术护理措施。
