[1] 董延晨,解 琛. 快速康复外科护理联合出院后延续性护理对断指再植患者功能恢复和生活质量的影响[J].中国美容医学,2021,(2):155-158.
　 DONG Yan-chen,XIE Chen. Effects of Fast Track Surgery Nursing Combined with Continuous Nursing afterDischarge on Function Recovery and Quality of Life of Patients with Severed FingerReplantation[J].Medical Aesthetics and Beauty,2021,(2):155-158.
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 快速康复外科护理联合出院后延续性护理对断指再植患者功能恢复和生活
质量的影响
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年2期
页码:
155-158
栏目:
出版日期:
2021-02-10

文章信息/Info

Title:
 Effects of Fast Track Surgery Nursing Combined with Continuous Nursing after
Discharge on Function Recovery and Quality of Life of Patients with Severed Finger
Replantation
文章编号:
1008-6455（2021）02-0155-04
作者:
 董延晨1; 解 琛2
Author(s):
 DONG Yan-chen1; XIE Chen2
关键词:
 [关键词]断指再植; 快速康复外科护理; 出院后延续性护理; 功能恢复; 生活质量
Keywords:
 Key words: replantation of severed finger;  fast track surgery nursing;  continuous nursing after discharge;  functional recovery; quality of life
分类号:
R473.6
文献标志码:
A
摘要:
[摘要]目的：探讨快速康复外科（Fast track surgery，FTS）护理联合出院后延续性护理在断指再植患者中的应用，并
观察其对再植指功能恢复和患者生活质量的影响。方法：选取2016年6月-2019年6月笔者医院收治的行断指再植术的患者
114例，随机分为观察组和对照组，每组各57例。对照组予以围手术期常规护理和出院后延续性护理，观察组予以围手术
期FTS护理和出院后延续性护理。记录两组再植指成活情况，对两组行疗效评定，进行功能评定和生活质量综合评定问卷
（Generic quality of life inventory 74，GQOLI-74）评分，并调查满意度。结果：观察组的断指再植成活率96.20%，高
于对照组的87.18%，且观察组优良率94.74%，高于对照组的75.44%，差异均有统计学意义（P ＜0.05）。出院后1个月、3个
月、6个月，两组功能恢复评分和GQOLI-74评分均高于同组，且观察组高于对照组，差异有统计学意义（P ＜0.05）。出院后
6个月，观察组满意率92.98%，高于对照组的71.93%，差异有统计学意义（P ＜0.05）。结论：FTS联合出院后延续性护理能
够有效提高断指再植的成活率，促进再植指的功能恢复，改善患者的生活质量。

Abstract:
Abstract: Objective To explore the application of fast track surgery (FTS) nursing combined with continuous nursing after
discharge on patients with severed finger replantation and its effect on function recovery and quality of life. Methods Total of
114 patients with severed finger replantation admitted to our hospital from June 2016 to June 2019 were randomly divided into
the observation group (n =57) and the control group (n =57). The control group received usual care in perioperative period and
continuous nursing after discharge. The observation group received FTS in perioperative period and continuous nursing after
discharge. The survival of replantation fingers in the two groups was recorded, and the efficacy of the two groups was assessed.
The functional assessment and generic quality of life inventory 74 (GQOLI-74) were scored in the two groups, and the degree
of satisfaction was investigated. Results The survival rate of replantation fingers was 96.20% in the observation group, which
was higher than that in the control group(87.18%), the difference was statistically significant(P ＜0.05). The excellent rate
in the observation group was 94.74%, which was higher than that in the control group (75.44%, P ＜0.05). One month, three
months and six months after discharge, the functional recovery score and GQOLI-74 score of the two groups were higher than
those of the same group, and the observation group was higher than that of the control group(P ＜0.05). The satisfaction rate
of the observation group was 92.98% at 6 months after discharge, higher than that of the control group (71.93%, P ＜0.05).
Conclusion FTS combined with continuous nursing after discharge can effectively improve survival rate of replantation
fingers, promote the functional recovery and improve the quality of life on patients with severed finger replantation.
更新日期/Last Update: 2021-03-09