| 钱彦龙.精细化管理护理在手指烧创伤缝合术后的应用配合.骨科,2018,9(1): 61-64. |
| 精细化管理护理在手指烧创伤缝合术后的应用配合 |
| Application of fine management nursing in finger burn wound suture operation |
| 投稿时间：2017-03-18 |
| DOI：10.3969/j.issn.1674-8573.2018.01.013 |
| 中文关键词: 精细化管理护理 手指烧创伤 手指瘢痕挛缩 手术配合 |
| 英文关键词: Fine management nursing Finger burn wound Finger scar contracture Operation cooperation Finger joint activity |
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| 中文摘要: |
| 目的 探讨精细化管理护理在手指烧创伤缝合术后的应用配合效果。方法 采用回顾性研究方法，选择2013年8月至2016年12月在我院进行手指烧创伤缝合手术的88例手指瘢痕挛缩病人作为本次的研究对象，按照护理方法的不同分为对照组和观察组，每组44例。所有病人采用统一的手术方案，对照组在围手术期给予常规护理，观察组在对照组护理的基础上给予精细化管理护理。比较两组的护理质量（护理合格率、意外事件发生率及护理并发症发生率）和护理服务满意度，以及两组病人术后3个月的伸指肌腱修复优良率。结果 观察组的护理合格率、意外事件发生率与护理并发症发生率分别为97.7%、2.3%和4.5%，对照组分别为84.1%、13.6%和20.5%，两组对比，差异均有统计学意义（P均＜0.05）。观察组与对照组的护理服务满意度分别为100.0%和86.4%，观察组明显高于对照组，差异有统计学意义（χ2=6.439，P=0.011）。术后3个月时，观察组与对照组的伸指肌腱修复优良率分别为97.7%和81.8%，观察组明显高于对照组，差异有统计学意义（χ2=6.065，P=0.014）。结论 精细化管理护理在手指烧创伤缝合术后的应用配合能提高护理质量，减少护理缺陷，促进改善护理服务满意度，有利于病人伸指肌腱的恢复。 |
| 英文摘要: |
| Objective To investigate the application and effects of fine management nursing in finger burn wound suture operation. Methods Aretrospective study on 88 patients with finger scar contracture after burn wound suture surgery wasperformed in our hospital from August 2013 to December 2016. All the patients were equally divided into the observation group and the control groupaccording to the nursing methods. All patients were treated with the same surgical procedures. The control group was given the perioperative routine care, and the observation group was given the fine management of nursing care based on the control group. The nursing quality (rate of nursing qualification, incidence of accident and incidence of nursing complication), satisfaction degree of nursing service, and the excellent and good rate of extensor tendon repair 3 months after operationwere compared between two groups. Results The nursing qualification rate, accident and complication rate in the observation group were 97.7%, 2.3% and 4.5%, and those were 84.1%, 13.6% and 20.5% in the control group, with the difference being statistically significant between the two groups (P＜0.05 for all). The nursing service satisfaction in the observation group and the control group was 100% and 86.4%(χ2=6.439, P=0.011). The excellent and good rate of extensor tendon repair in the observation group and the control group were 97.7% and 81.8% (χ2=6.065, P=0.014). Conclusion The application of fine management nursing in finger burn wound suture operation can improve the quality of care, reduce nursing defects, and improve nursing service satisfaction. It is conducive to the improvement of total activity of finger joint. |
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