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目的探讨舒适护理干预在手部软组织缺损皮瓣修复术后的应用。方法从2015年4月-2017年4月,选择80例手部软组织缺损后行皮瓣修复术的患者为研究对象,随机分为试验组和对照组,各40例。对照组给予常规护理,试验组采用舒适护理干预方案,为患者提供优质护理服务。患者疗效分为4个等级,疼痛评分采用VAS评分标准,睡眠质量评分使用PSQI量表评价,了解健康教育知识掌握情况,比较两组患者的疗效、疼痛情况、睡眠质量、疾病知识掌握情况。结果试验组患者术后恢复的优良率为87.5%,对照组为55.0%,试验组患者疾病知识掌握情况评分为(90.1±5.4)分,对照组患者疾病知识掌握情况评分为(78.9±8.7)分,试验组疼痛评分为(3.1±1.1)分,对照组疼痛评分为(6.7±1.3)分,试验组睡眠质量评分为(11.82±5.1)分,对照组睡眠质量评分为(18.82±10.1)分,以上各项指标比较,两组之间均具有显著的统计学差异(P<0.05)。结论对手部软组织缺损皮瓣修复术后患者应用舒适护理,有利于提高患者的治疗效果,减轻患者的术后疼痛,改善患者的生活质量,值得临床护理中进行推广应用。
Objective To investigate the application of comfortable nursing intervention in the repair of hand soft tissue defect flap. Methods From April 2015 to April 2017, 80 patients with hand soft tissue defect undergoing skin flap repair were selected as study subjects and randomly divided into experimental group and control group, 40 cases in each. The control group was given routine care, and the experimental group adopted the comfortable nursing intervention program to provide the patients with quality nursing services. Patient’s efficacy was divided into four grades. The pain score was assessed by VAS score. The sleep quality score was assessed by PSQI scale to understand the knowledge of health education. The curative effect, pain status, sleep quality and disease knowledge were compared between the two groups. Results The excellent and good rate of postoperative recovery was 87.5% in the experimental group and 55.0% in the control group. The grading of disease knowledge in the experimental group was (90.1 ± 5.4). The grading of disease knowledge in the control group was (78.9 ± 8.7) (3.1 ± 1.1) in the experimental group, (6.7 ± 1.3) in the control group, (11.82 ± 5.1) in the experimental group, and 18.82 ± 10.1 in the control group Points, the above indicators are compared between the two groups were statistically significant differences (P <0.05). Conclusion The application of comfortable nursing for the patients with hand soft tissue defect flap repair is helpful to improve the treatment effect, reduce the postoperative pain and improve the quality of life of patients, which is worth popularizing and applying in clinical nursing.