优质护理对负压引流技术后四肢创伤患者的效果研究

王芳; 奚庆红; 陶海荣; 邱双玲

doi:10.16766/j.cnki.issn.1674-4152.002167

优质护理对负压引流技术后四肢创伤患者的效果研究

doi: 10.16766/j.cnki.issn.1674-4152.002167

1.
上海交通大学医学院附属第九人民医院骨科，上海 201999
2.
上海交通大学医学院附属第九人民医院泌尿外科，上海 201999

基金项目:

上海市自然科学基金项目 19ZR1429200

详细信息

通讯作者:
奚庆红，E-mail：13611829161@163.com

中图分类号: R473.6 R658
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- 文章访问数: 247
- HTML全文浏览量: 166
- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2020-10-17
- 网络出版日期: 2022-02-15

Evaluation of the effect of the high-quality nursing in the treatment of limb trauma under VSD

1.
Department of Orthopaedics, the Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of medicine, Shanghai 201999, China

摘要

摘要: 目的探讨优质护理用于负压引流(vacuum sealing drainage，VSD)术治疗四肢创伤患者对康复效果、患者满意度及生活质量的影响。方法选取2018年3月—2019年10月上海交通大学医学院附属第九人民医院收治的四肢创伤患者共98例，采用随机数字法分为观察组和对照组，各49例，均予以VSD术治疗，对照组施以常规护理，观察组施以优质护理，对患者的换药次数、创面愈合时间、创面愈合治疗费用、临床护理满意度情况、护理前及护理1个月后的疼痛(VAS)评分、肿胀周径、生活质量评分进行观察。结果优质护理干预后，对照组与观察组换药次数[(4.19±0.71)次vs. (2.43±0.42)次]、创面愈合时间[(26.62±6.31)d vs. (20.57±5.12)d]、创面愈合治疗费用[(3 245.86±254.39)元vs.(1 628.09±103.54)元]比较差异有统计学意义(均P < 0.05)；患者及家属对临床护理的满意度从81.64%提升至97.96%，差异有统计学意义(P < 0.05)；护理前，2组VAS评分、肿胀周径、生活质量比较差异均无统计学意义，护理1个月后观察组的VAS评分明显降低[(1.93±0.46)分vs. (6.98±1.41)分]，肿胀周径明显缩短[(1.21±0.15)mm vs. (12.91±0.19)mm]，生活质量评分明显提升[(90.24±5.09)分vs. (65.28±2.61)分]，且优于对照组[(4.02±0.86)分、(4.12±0.18)mm、(78.59±4.52)分]，差异均有统计学意义(均P < 0.05)。结论优质护理用于VSD术治疗四肢创伤患者对康复效果、满意度具有积极影响，不仅能够降低VAS评分，缩短肿胀周径，减少换药次数，降低创面愈合治疗费用，同时能够提升生活质量评分与临床护理满意度，缩短创面愈合时间。
- 优质护理 /
- VSD术 /
- 四肢创伤 /
- 康复效果 /
- 满意度
Abstract: Objective To explore the effect of high-quality nursing on rehabilitation, satisfaction and quality of life of patients with extremity trauma treated by vacuum sealing drainage (VSD). Methods A total of 98 patients with limb trauma admitted to the Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University from March 2018 to October 2019 were randomly divided into observation group and control group, 49 cases in each group. All patients were treated with VSD. The times of dressing change, wound healing time, wound healing treatment cost, clinical nursing satisfaction, pain (VAS) score, swelling circumference and quality of life score before and one month after nursing were observed. Results After the high-quality nursing intervention, there was statistical significance in the dressing change times of the control group and the observation group [(4.19±0.71) times vs. (2.43±0.42), wound healing time [(26.62±6.31) d vs. (20.57±5.12) d], wound healing treatment cost [(3 245.86±254.39) yuan vs. (1 628.09±103.54) yuan (all P < 0.05). The satisfaction of patients and their families to clinical nursing increased from 81.64% to 97.96%, the difference was statistically significant (P < 0.05). Before nursing, there was no difference in VAS score, swelling circumference and quality of life between the two groups. After one month of nursing, the VAS score of the observation group was significantly lower than that of the control group [(1.93±0.46) points vs. (6.98±1.41) points], the swelling circumference was significantly shortened [(1.21±0.15)mm vs. (12.91±0.19) mm], and the score of quality of life was significantly improved [(90.24±5.09) points vs. (65.28±2.61) points], and better than the control group [(4.02±0.86) points, (4.12±0.18)mm, (78.59±4.52) points], the differences were statistically significant (all P < 0.05). Conclusion High-quality nursing care in the treatment of limb trauma patients with VSD surgery has a positive impact on the rehabilitation effect and satisfaction, which can not only reduce the VAS score, swelling, number of dressing changes and wound healing time, but also improve the quality of life score and clinical nursing satisfaction and shorten wound healing time.
- High-quality nursing /
- Vacuum sealing drainage /
- Limb trauma /
- Rehabilitation effect /
- Satisfaction

HTML全文

表 1 2组四肢创伤患者换药次数、创面愈合时间、创面愈合治疗费用比较(x±s)

组别	例数	换药次数(次)	创面愈合时间(d)	治疗费用(元)
对照组	49	4.19±0.71	26.62±6.31	3 245.86±254.39
观察组	49	2.43±0.42	20.57±5.12	1 628.09±103.54
t值		14.935	7.796	41.231
P值		< 0.001	< 0.001	< 0.001

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表 2 2组四肢创伤患者临床护理满意度比较[例(%)]

组别	例数	满意	基本满意	不满意	总满意度
对照组	49	21(42.86)	19(38.78)	9(18.36)	40(81.64)
观察组	49	37(75.51)	11(22.45)	1(2.04)	48(97.96)
注：2组总满意度比较，χ²=7.127，P=0.008。

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表 3 2组四肢创伤患者VAS评分、肿胀周径、生活质量评分比较(x±s)

组别	例数	VAS评分(分)		肿胀周径(mm)		生活质量评分(分)
组别	例数	护理前	护理1个月后	护理前	护理1个月后	护理前	护理1个月后
对照组	49	6.95±1.42	4.02±0.86^a	12.97±0.24	4.12±0.18^a	65.39±2.74	78.59±4.52^a
观察组	49	6.98±1.41	1.93±0.46^a	12.91±0.19	1.21±0.15^a	65.28±2.61	90.24±5.09^a
t值		0.105	15.001	1.372	86.937	0.203	11.980
P值		0.917	< 0.001	0.173	< 0.001	0.839	< 0.001
注：与护理前比较，^aP < 0.05。

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