Observation on wound care and prognosis of obese patients after abdominal wall plastic surgery
肥胖患者腹壁整形术后创面护理及预后效果观察

摘要

目的 探究专项创面护理干预应用于肥胖患者腹壁整形术后的临床效果及对患者预后的影响。方法 选取2023年6月-2024年6月本院收治的20例肥胖腹壁整形手术患者，随机分为对照组与观察组，各10例。对照组实施常规术后护理，观察组采用针对性创面精细化护理干预。对比两组创面愈合情况、术后并发症发生率及患者护理满意度。结果 观察组创面愈合时间显著短于对照组，创面愈合优良率更高；观察组术后血肿、感染、皮肤坏死等并发症发生率低于对照组，且患者护理满意度显著优于对照组，组间差异均有统计学意义（P＜0.05）。结论 针对肥胖患者腹壁整形术后开展专项创面精细化护理，可有效加速创面愈合，降低术后并发症风险，改善患者术后预后质量，提升就医满意度，临床应用价值较高。

Abstract

Objective To explore the clinical effect of specialized wound care intervention applied to obese patients after abdominal wall plastic surgery and its impact on patient prognosis.
Methods 20 obese patients undergoing abdominal wall plastic surgery admitted to our hospital from June 2023 to June 2024 were randomly divided into a control group and an observation group, with 10 cases in each group. The control group received routine postoperative care, while the observation group received targeted wound refinement nursing interventions. Compare the wound healing status, incidence of postoperative complications, and patient nursing satisfaction between two groups.
Results The observation group had a significantly shorter wound healing time and a higher rate of excellent wound healing compared to the control group; The incidence of postoperative complications such as hematoma, infection, and skin necrosis in the observation group was lower than that in the control group, and the patient satisfaction with nursing was significantly better than that in the control group. The differences between the groups were statistically significant (P<0.05).
Conclusion   Specialized wound refinement nursing for obese patients after abdominal wall plastic surgery can effectively accelerate wound healing, reduce the risk of postoperative complications, improve the quality of postoperative prognosis, enhance medical satisfaction, and have high clinical application value.