[1]王美玲,刘 莹,沈 杰.精益护理在游离穿支皮瓣修复手部软组织缺损中的应用[J].中国美容医学,2023,(9):176-179.[doi:10.15909/j.cnki.cn61-1347/r.005864]
　WANG Meiling,LIU Ying,SHEN Jie.Application of Lean Nursing in Repairing Hand Soft Tissue Defect with Free Perforator Flap[J].Medical Aesthetics and Beauty,2023,(9):176-179.[doi:10.15909/j.cnki.cn61-1347/r.005864]
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精益护理在游离穿支皮瓣修复手部软组织缺损中的应用()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年9期
页码:
176-179
栏目:
出版日期:
2023-09-10

文章信息/Info

Title:
Application of Lean Nursing in Repairing Hand Soft Tissue Defect with Free Perforator Flap
文章编号:
1008-6455(2023)09-0176-04
作者:
王美玲; 刘 莹; 沈 杰
(首都医科大学附属北京积水潭医院手外科 北京 102208 )
Author(s):
WANG Meiling; LIU Ying; SHEN Jie
(Department of Hand Surgery,Beijing Jishuitan Hospital Affi liated to Capital Medical University,Beijing 102208,China)
关键词:
手部软组织缺损; 精益护理; 游离穿支皮瓣; 修复; 手部功能; 负性情绪
Keywords:
hand soft tissue defect lean nursing free perforator fl ap repair hand function negative emotion
分类号:
R473.6
DOI:
10.15909/j.cnki.cn61-1347/r.005864
文献标志码:
A
摘要:
目的：探讨精益护理在游离穿支皮瓣修复手部软组织缺损中的应用效果。方法：选取笔者医院2018年3月-2022年3月 行游离穿支皮瓣修复的96例手部软组织缺损患者，按随机数字表法分为观察组（n=48）和对照组（n=48）。对照组给予常 规护理干预，观察组给予精益护理干预。干预后，比较两组手部功能情况[采用密歇根州手功能评估问卷（Michigan hand outcome questionnaire，MHQ）]、负性情绪[采用抑郁自评量表（Self-rating depression scale，SDS）、焦虑自评量 表（Self-rating anxiety scale，SAS）]、并发症及护理满意度。结果：干预后，观察组MHQ评分高于对照组，SDS、SAS 评分均低于对照组，并发症发生率低于对照组，护理满意度评分高于对照组，以上指标组间比较差异均有统计学意义（P ＜0.05）。结论：对行游离穿支皮瓣修复手部软组织缺损的患者采用精益护理进行干预，可促进患者手部功能恢复，缓解患 者负性情绪，减少并发症，患者满意度高。
Abstract:
Objective To explore the application eff ect of lean nursing in the repair of free perforator fl aps in patients with hand soft tissue defects. Methods A total of 96 patients with hand soft tissue defects who underwent free perforator fl ap repair in the hospital were enrolled between March 2018 and March 2022.According to random number table method,they were divided into observation group (n=48) and control group (n=48).The control group was given routine nursing,while observation group was given lean nursing.The recovery of hand function [ michigan hand outcome questionnaire (MHQ)],negative emotions [ selfrating depression scale (SDS),self-rating anxiety scale (SAS)],complications and nursing satisfaction were compared before and after intervention. Results After intervention,the MHQ score of the observation group was higher than that of the control group,the SDS and SAS scores were lower than that of the control group,the incidence of complications was lower than that of the control group,and the nursing satisfaction score was higher than that of the control group.The diff erences between the above indicators were statistically significant (P ＜0.05). Conclusion Lean nursing intervention for patients with hand soft tissue defects repaired by free perforator fl ap can promote the recovery of hand function,alleviate negative emotions of patients,reduce complications,and achieve high patient satisfaction.

相似文献/References:

[1]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(9):21.
[2]蒋 珺,顾燕萍.基于ADOPT问题解决模式的个体化护理在手部软组织缺损皮瓣移植修复术围手术期中的应用[J].中国美容医学,2023,(12):187.[doi:10.15909/j.cnki.cn61-1347/r.006052]
　JIANG Jun,GU Yanping.Application of ADOPT Problem Solving Model-based Individualized Nursing in Perioperative Period of Flap Transplantation and Restoration for Hand Soft Tissue Defects[J].Medical Aesthetics and Beauty,2023,(9):187.[doi:10.15909/j.cnki.cn61-1347/r.006052]

更新日期/Last Update: 2023-10-16