结构化管理模式在小腿皮肤软组织撕脱伤VSD干预中的应用<br />-《中国美容医学》

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Title:: Application of Structured Management Model in VSD Intervention for Skin and Soft Tissue Avulsion Injury of Leg

文章编号:: 1008-6455（2019）05-0154-05

作者:: 白燕玲; 冯艳玲; 邓小芬

Author(s):: BAI Yan-ling; FENG Yan-ling; DENG Xiao-fen

关键词:: [关键词]结构化管理模式; 皮肤软组织撕脱伤; 负压封闭引流; 创面感染; 焦虑; 抑郁

Keywords:: ; Key words: structured management mode; skin and soft tissue avulsion injury; vacuum sealing drainage; wound infection; anxiety; depression

分类号:: R758.63

文献标志码:: B

摘要:: [摘要]目的：探讨结构化管理模式在小腿皮肤软组织撕脱伤负压封闭引流（VSD）干预中的应用及价值。方法：选取2016年9
月-2018年9月笔者医院接受VSD治疗的小腿皮肤软组织撕脱伤患者98例，开展前瞻性研究。按抽签的随机方法，将所有患者
分为两组，每组各49例，其中对照组采用常规护理，观察组实施结构化管理模式，干预时间为住院期间至出院后3个月。对
比两组伤口创面感染情况及愈合时间，并分别于护理前及结束时，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、简化
Fug1-Meyer量表（FMA）、功能性步行量表（FAC）及住院患者护理满意度调查量表评价两组患者负性情绪、下肢运动功能、
步行功能及满意度。结果：观察组创面感染率为6.12%，显著低于对照组的20.41%，差异有统计学意义（P ＜0.05）；观察组
创面愈合时间显著低于对照组（P ＜0.05）。观察组护理后SAS、SDS评分均显著低于护理前及对照组护理后（P ＜0.05），
FAC、FMA评分均显著高于护理前及对照组护理后（P ＜0.05）。观察组护理实施后健康教育、人文关怀、服务可及性、质量
及安全、总量表评分均显著高于护理前及对照组护理后（P ＜0.05）。结论：采用结构化管理模式能有效缓解小腿皮肤软组
织撕脱伤患者VSD治疗时的负性情绪，减少创面感染发生率，缩短创面愈合时间，促进患肢功能早期恢复，提高患者护理满
意度。

Abstract:: Abstract: Objective In order to observe the value of structured management model in the intervention of vacuum sealing
drainage (VSD) for skin and soft tissue avulsion injury of leg. Methods 98 patients with skin and soft tissue avulsion injury
of the lower leg treated by VSD from September 2016 to September 2018 were included in this prospective study. According
to the random method of drawing lots, all the patients were divided into two groups, 49 cases each, among which the control
group adopted the conventional nursing mode, the observation group implemented the structured management mode, and
the intervention period was from hospitalization to 3 months after discharge.Compared two groups of wound and the healing
time, wound infection situation and in nursing before and at the end of the self-evaluation of anxiety scale (SAS), depression
self rating scale (SDS), the simplified Fug1-Meyer scale (FMA) and functional walking scale (FAC) and hospitalized patients
nursing satisfaction survey scale evaluation of two groups of negative emotion and lower limb motor function, walking function
and patient satisfaction. Results The wound infection rate in the observation group was 6.12%, significantly lower than that in
the control group (20.41%), and the difference was statistically significant (P ＜0.05); The wound healing time in the observation
group was significantly shorter than that in the control group (P ＜0.05). The scores of SAS and SDS in the observation group
were significantly lower than those before nursing and after nursing in the control group (P ＜0.05), and the scores of FAC and
FMA were significantly higher than those before nursing and after nursing in the control group (P ＜0.05). The scores of health
education, humanistic care, service accessibility, quality and safety, total scale in the observation group were significantly
higher than those before nursing and after nursing in the control group (P ＜0.05). Conclusion Structured management model
can effectively alleviate negative emotions, reduce the incidence of wound infection, shorten the wound healing time, promote
the early recovery of limb function, and improve the patients’nursing satisfaction in VSD treatment of leg skin and soft tissue
avulsion injury.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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