Volume 19 Issue 10
Oct.  2021
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WANG Fang, XI Qing-hong, TAO Hai-rong, QIU Shuang-ling. Evaluation of the effect of the high-quality nursing in the treatment of limb trauma under VSD[J]. Chinese Journal of General Practice, 2021, 19(10): 1784-1788. doi: 10.16766/j.cnki.issn.1674-4152.002167
Citation: WANG Fang, XI Qing-hong, TAO Hai-rong, QIU Shuang-ling. Evaluation of the effect of the high-quality nursing in the treatment of limb trauma under VSD[J]. Chinese Journal of General Practice, 2021, 19(10): 1784-1788. doi: 10.16766/j.cnki.issn.1674-4152.002167

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

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

 19ZR1429200

  • Received Date: 2020-10-17
    Available Online: 2022-02-15
  •   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.

     

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