优质护理在断指再植手术患者中的应用效果

董莉

[摘要]目的 探讨对断指再植（RAF）手术患者实施优质护理干预的应用效果。方法 选取2016年2月～2018年1月我院收治的68例RAF手术患者，按分层随机化分组法分为对照组和观察组，每组各34例。对照组给予常规护理，观察组在常规护理基础上行优质护理干预，比较两组的护理效果。结果 观察组断指再植体成活率为100.00%，高于对照组的82.35%，住院时间短于对照组，差异有统计学意义（P<0.05）;护理后，观察组的焦虑、抑郁、压力评分明显低于对照组，差异有统计学意义（P<0.05）。观察组护理总满意度为97.06%，高于对照组的65.71%，差异有统计学意义（χ2=9.510，P=0.002）。结论 优质护理干预在RAF手术患者中的应用，可缓解患者的负面情绪，积极配合治疗，效果显著。

[关键词]断指再植手术;优质护理干预;常规护理

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2019）10（a）-0250-03

[Abstract] Objective To investigate the application effect of quality nursing intervention in patients undergoing replantation of amputated fingers（RAF）. Methods A total of 68 patients with RAF treated in our hospital from February 2016 to January 2018 were selected and divided into control group and observation group according to stratified randomization group， 34 cases in each group. The control group was given conventional nursing， the observation group was given advanced quality nursing intervention on the basis of routine nursing， nursing effects were compared between the two groups. Results In the observation group， the survival rate of replanted finger replantation was 100.00%， higher than that of the control group （82.35%）， and the hospitalization time was shorter than that of the control group， the differences were statistically significant （P<0.05）. After nursing， the anxiety， depression and stress scores of the observation group were obvious lower than those of the control group， with statistically differences （P<0.05）. The satisfaction degree of nursing was 97.06% in the observation group， higher than 65.71% in the control group， with statistically difference （P<0.05）. Conclusion The application of high-quality nursing intervention in patients with RAF can alleviate negative emotions and actively cooperate with treatment.

[Key words] Replantation of amputated fingers; Quality nursing intervention; Routine nursing

斷指再植（RAF）手术是指在显微镜下手术，将完全离断指体或不完全离断指体进行原位再植，使指体恢复血液流通，并获得成活[1-2]。但RAF手术属于精细性操作，手术难度大，过程复杂，患者围术期普遍存在焦虑、不安等情绪，影响手术操作及术后恢复。另外RAF手术成功与否，不仅取决于手术技术，充分术前准备、术后精心护理也影响着患者术后恢复情况[3]。总体来说，RAF手术患者术后恢复效果受到操作人员及护理人员经验水平的影响，故根据此研究，总结经验教训及护理操作，对RAF手术患者采取优质护理干预，旨为临床护理提供参考依据，现报道如下。

1资料与方法

1.1一般资料

选取2016年2月～2018年1月我院收治的68例RAF手术患者。纳入标准：①患者均自愿参加本研究，且签署知情同意书;②自愿接受RAF手术治疗;③本研究经我院医学伦理委员会审批标准。排除标准：①精神性疾病、各器官障碍者;②合并严重外伤者;③中途退出本研究者。按分层随机化分组法分为对照组和观察组，每组各34例。对照组中，男22例，女12例;年龄24～66岁，平均（45.84±5.19）岁;撕裂伤12例，重物砸伤10例，挤压伤8例，切割伤4例;离断时间20 min～8 h，平均（2.15±0.49）h;受教育时间3～16年，平均（9.16±1.46）年。观察组中，男20例，女14例;年龄22～65岁，平均（46.15±5.24）岁;撕裂伤10例，重物砸伤10例，挤压伤8例，切割伤6例;离断时间30 min～8 h，平均（2.21±0.52）h;受教育时间3～15年，平均（9.20±1.45）年。两组的一般资料比较，差异无统计学意义（P>0.05），具有可比性。