[1] 丁红梅,孙建华,姜春庭,等. 个性化护理在皮瓣修复大面积头皮缺损围手术期的应用效果评价[J].中国美容医学,2021,(7):158-161.
　 DING Hong-mei,SUN Jian-hua,JIANG Chun-ting,et al. Evaluation of Individualized Nursing in the Perioperative Period of Large Area Scalp Defect Skin Flap Repair[J].Medical Aesthetics and Beauty,2021,(7):158-161.
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年7期
页码:
158-161
栏目:
出版日期:
2021-07-10

文章信息/Info

Title:
 Evaluation of Individualized Nursing in the Perioperative Period of Large Area Scalp Defect Skin Flap Repair
文章编号:
1008-6455（2021）07-0158-04
作者:
 丁红梅1; 孙建华2; 姜春庭1; 吴文华1; 顾双双1
Author(s):
 DING Hong-mei1; SUN Jian-hua2; JIANG Chun-ting1; WU Wen-hua1; GU Shuang-shuang1
关键词:
 [关键词]个性化护理; 皮瓣修复术; 大面积头皮缺损; 护理满意度; 焦虑; 抑郁
Keywords:
 Key words: individualized nursing;  skin flap repair;  large-area scalp defect;  nursing satisfaction;  anxiety;  depression
分类号:
R473
文献标志码:
B
摘要:
[摘要]目的：探讨个性化护理在大面积头皮缺损皮瓣修复围手术期的应用价值。方法：选取2017年3月-2019年5月在医院行
皮瓣修复术的大面积头皮缺损患者82例，以随机数字法将其分为研究组、对照组，各41例。对照组术后实施普通护理，观
察组术后实施个性化护理，两组均干预两周及以上，并随访1年。比较两组皮瓣成活率及护理满意度，住院时间及瘢痕评
分，干预前后焦虑、抑郁评分以及随访1年后疗效。结果：两组皮瓣成活率比较差异无统计学意义（97.56% vs 92.68%，P＞
0.05）。研究组护理满意度高于对照组（92.68% vs 75.61%），差异有统计学意义（P ＜0.05）。研究组住院时间短于对照
组，瘢痕评分低于对照组，差异有统计学意义（P ＜0.05）。与干预前比较，干预两周后，两组焦虑自评量表（Self-rating
anxiety scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）评分均降低，研究组低于对照组，差异有
统计学意义（P ＜0.05）。随访1年，两组预后疗效比较，研究组高于对照组，差异有统计学意义（90.24% vs 70.73%，P
＜0.05）。结论：对皮瓣修复术后大面积头皮缺损患者实施个性化护理，临床治疗效果显著，能够改善患者创面愈合效果，
缓解患者焦虑抑郁症状，提高患者满意度和预后疗效。

Abstract:
Abstract: Objective To explore the effect evaluation of the individualized nursing in the perioperative period of large area
scalp defect skin flap repair. Methods A total of 82 patients with large-area scalp defect who underwent flap repair in our
hospital between March 2017 and May 2019 were selected, and they were divided into the research group and the control
group by random number method, with 41 cases in each group. The control group received general nursing after operation.
The observation group received individualized nursing after operation, both groups intervention for two weeks or more, and
follow-up for one year. The flap survival rate and nursing satisfaction, hospital stay and scar score, anxiety and depression
scores before and after intervention, and the curative effect after one year of follow-up were compared between the two groups.
Results There was no significant difference in the survival rate of the flaps between the two groups (97.56% vs 92.68%, P ＞
0.05). The nursing satisfaction in the research group was higher than the control group (92.68% vs 75.61%), the difference was
statistically significant (P ＜0.05). The hospitalization time in the research group was shorter than the control group, and the
score of scar was lower than the control group (P ＜0.05). Compared with before intervention, after 2 weeks of intervention,
the scores of SAS and SDS in both group decreased, and the research group was lower than the control group (P ＜0.05). After
follow-up for one year, the prognostic efficacy of the two groups was compared, the research group was higher than the control
group (90.24% vs 70.73%, P ＜0.05). Conclusion Individualized nursing of patients with large scalp defect after flap repair
was effective, which could significantly improve the wound healing effect, shorten the hospital stay, relieve the anxiety and
depression symptoms, improve patient satisfaction and prognostic treatment effect.

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更新日期/Last Update: 2021-08-06