| 朱琳怡,傅育红,毛雷音,徐颢庭,高丽婷.序贯康复护理在腹部带蒂皮瓣修复手部软组织缺损中的应用[J].上海护理,2021,21(8): |
| 序贯康复护理在腹部带蒂皮瓣修复手部软组织缺损中的应用 |
| Application of sequential rehabilitation nursing in repairing soft tissue defect of hand with abdominal pedicled flap |
| 投稿时间：2020-07-21 修订日期：2021-08-01 |
| DOI： |
| 中文关键词: 序贯康复护理 腹部带蒂皮瓣 围手术期 |
| 英文关键词:sequential rehabilitation nursing Abdominal pedicle flap perioperative period |
| 基金项目:无锡市转化医学中心平台研究所转化医学专项资助项目(锡卫科教[2019]15号文件) |
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| 中文摘要: |
| 目的 探讨腹部带蒂皮瓣修复手部软组织缺损围术期采用序贯康复护理方案的疗效。方法 2019年1月至2019年6月行腹部带蒂皮瓣术的35例患者为对照组,采取常规护理；2019年7月至2019年12月另选取腹部带蒂皮瓣术的36例患者为实验组。围术期分三阶段行序贯康复护理方案,一阶段采取适应性康复训练；二阶段配合自制康复用具采取个性化康复锻炼；三阶段采取系统化康复锻炼。分别对术后相关功能恢复情况、肢体疼痛情况、患者满意度、舒适度进行调查,同时对皮瓣蒂受压迫次数、皮瓣扯脱率进行统计。结果 实验组各项指标均优于对照组(P<0.05)。结论 序贯康复护理能有效提高腹部带蒂皮瓣修复手部软组织缺损术后肩、肘关节活动度,患者满意度、舒适度,减轻肩部及肢体疼痛情况及皮瓣蒂受压迫次数,从而提高皮瓣存活率,减少皮瓣扯脱情况的发生,有效提高了患者生活质量及康复疗效。 |
| 英文摘要: |
| Objecrive To investigate the effect of sequential rehabilitation nursing in the treatment of hand soft tissue defects with abdominal pedicled flap during perioperative period. Method From January 2019 to June 2019, 35 patients with abdominal pedicled flap were selected as the control group and received routine nursing. From July 2019 to December 2019, another 36 patients with abdominal pedicled flap were selected as the experimental group. The perioperative period was divided into three stages, followed by a sequential rehabilitation nursing program, and the first stage was adaptive rehabilitation training. In the second stage, personalized rehabilitation exercise was adopted with self-made rehabilitation tools. Three stages of systematic rehabilitation exercise.Postoperative functional recovery, limb pain, patient satisfaction and comfort were investigated. Meanwhile, the number of times of flap pedicle compression and flap tearing rate were counted.Result All the indexes were better in the treatment group than in the control group (P<0.05).Conclusion Sequential rehabilitation nursing can effectively improve the abdomen pedicle skin flap repair soft tissue defect in the shoulder, elbow motion and postoperative patient satisfaction, comfort, ease the shoulders and body pain and skin flap pedicle oppression, thus improve the flap survival rate, reduce skin flap tore off situation, effectively improve the patient"s quality of life and rehabilitation. |
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