| 优质护理对负压引流技术后四肢创伤患者的效果研究 |
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| 引用本文： | 王芳,奚庆红,陶海荣,邱双玲. 优质护理对负压引流技术后四肢创伤患者的效果研究[J]. 中华全科医学, 2021, 19(10): 1784-1788. DOI: 10.16766/j.cnki.issn.1674-4152.002167 |
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| 作者姓名： | 王芳 奚庆红 陶海荣 邱双玲 |
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| 作者单位： | 1.上海交通大学医学院附属第九人民医院骨科,上海 201999 |
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| 基金项目： | 上海市自然科学基金项目19ZR1429200 |
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| 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...
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| 关 键 词： | 优质护理 VSD术 四肢创伤 康复效果 满意度 |
| 收稿时间： | 2020-10-17 |
Evaluation of the effect of the high-quality nursing in the treatment of limb trauma under VSD |
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| Affiliation: | Department of Orthopaedics, the Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of medicine, Shanghai 201999, China |
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| 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. |
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