The impact of progressive nursing care on patients with hand trauma undergoing pedicle skin flap surgery
渐进式护理对手外伤带蒂皮瓣术患者的影响

摘要

目的 探讨在手部创伤的护理中，采用渐进的护理方法对提高手部创伤病人的存活率的意义。方法对我院自2020年6月至2020年12月间住院的100例手部创伤病人进行了临床观察，并对其进行了手部组织瓣移植。将病人随机分成两组，每组各50人。比较两组皮瓣存活率、手的康复状况、治疗前和治疗后的疼痛程度与进行日常生活的能力。结果 通过对两组皮瓣存活率的比较，观察组较对照组（98.00%）显著提高，差异有统计学意义（P<0.05）。与对照组相比，两组患者的手功能恢复良好（94.00%）明显提高（80.00%）。从两组患者的疼痛程度可以看出，在治疗后第3天和第7天，试验组的试验组vAs得分较对照组显著降低（P<0.05）；从日常生活功能的角度来看，在干预后，试验组的巴歇尔指数明显比对照组高（P<0.05）。结论 采用渐进护理手段，可显著提高手部损伤病人皮瓣移植术后存活率，改善手功能恢复情况，缓解疼痛效果更好。除此之外，病人的日常生活活动能力也有了很大的改善。

Abstract

Objective To explore the significance of adopting progressive nursing methods in the care of hand injuries in improving the survival rate of patients with hand injuries.
Methods A clinical observation was conducted on 100 patients with hand trauma admitted to our hospital from June 2020 to December 2020, and hand tissue flap transplantation was performed on them. Randomly divide the patients into two groups of 50 people each. Compare the survival rate of the two groups of flaps, the rehabilitation status of the hands, the degree of pain before and after treatment, and the ability to engage in daily life.
Results By comparing the survival rates of the two groups of flaps, the observation group showed a significant improvement compared to the control group (98.00%), with a statistically significant difference (P<0.05). Compared with the control group, the hand function of the two groups of patients recovered well (94.00%) and significantly improved (80.00%). From the pain levels of the two groups of patients, it can be seen that on the 3rd and 7th days after treatment, the vAs scores of the experimental group were significantly lower than those of the control group (P<0.05); From the perspective of daily life function, after intervention, the experimental group had a significantly higher Marshall index than the control group (P<0.05).
Conclusion   Adopting progressive nursing methods can significantly improve the survival rate of hand injury patients after skin flap transplantation, improve hand function recovery, and have better pain relief effects. In addition, the patient's daily living activities have also greatly improved.