[1] 仲玲凤,陈晓明,王 惠,等. 医护一体化专项管理模式在穿支皮瓣修复慢性创面患者护理中的应用[J].中国美容医学,2021,(8):171-174.
　 ZHONG Ling-feng,CHEN Xiao-ming,WANG Hui,et al. Application of Doctor-nurse Integration Specialized Management in Nursing Care ofPatients with Chronic Wounds Repaired by Perforator Flap[J].Medical Aesthetics and Beauty,2021,(8):171-174.
点击复制

 医护一体化专项管理模式在穿支皮瓣修复慢性创面患者护理中的应用
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年8期
页码:
171-174
栏目:
出版日期:
2021-08-10

文章信息/Info

Title:
 Application of Doctor-nurse Integration Specialized Management in Nursing Care of
Patients with Chronic Wounds Repaired by Perforator Flap
文章编号:
1008-6455（2021）08-0171-04
作者:
 仲玲凤1; 陈晓明2; 王 惠3; 周晓春1; 芮 睿1; 徐 旭1
Author(s):
 ZHONG Ling-feng1; CHEN Xiao-ming2; WANG Hui3; ZHOU Xiao-chun1; RUI Rui1; XU Xu1
关键词:
 [关键词]医护一体化专项管理; 慢性创面; 创面修复; 焦虑; 依从性; 满意度
Keywords:
 Key words: doctor-nurse integration specialized management;  chronic wound;  wound healing;  anxiety;  compliance;  satisfaction
分类号:
R473.6
文献标志码:
B
摘要:
[摘要]目的：探讨医护一体化专项管理模式在穿支皮瓣修复慢性创面患者护理中的应用。方法：2016年6月-2020年5月随机
选择88例穿支皮瓣修复慢性创面患者为研究对象，随机分为两组，各44例，对照组采用常规护理，观察组实施医护一体化
专项管理，比较两组护理后创面恢复情况、医嘱依从性、焦虑状态及护理满意度情况。结果：观察组患者术后肉芽覆盖、
肉芽愈合时间均显著低于对照组，差异有统计学意义（P ＜0.05）。观察组患者饮食控制、适当运动、定期复查3个方面的
医嘱依从率均显著高于对照组，差异有统计学意义（P ＜0.05）。护理后3个月，两组焦虑自评量表（Self-rating anxiety
scale，SAS）和汉密尔顿焦虑自评量表（Hamilton anxiety scale，HAMA）评分均显著低于护理前，其中，观察组SDS、
HAMA评分均显著低于对照组，差异有统计学意义（P ＜0.05）。观察组患者在护理人员沟通能力、操作技能和医护配合度3个
方面的护理满意度得分均高于对照组，差异有统计学意义（P ＜0.05）。结论：医护一体化专项管理有利于加快穿支皮瓣修
复慢性创面患者的伤口恢复，安抚其焦虑情绪，医嘱依从性和护理满意度更高。

Abstract:
Abstract: Objective To explore the application of doctor-nurse integration specialized management in the nursing of patients
with chronic wounds repaired by perforator flap. Methods During the period from June 2016 to May 2020, 88 patients with
chronic wounds repaired by perforator flap were enrolled and randomly divided into the control group (routine nursing) and the
observation group (doctor-nurse integration specialized management), 44 cases in each group. The wound recovery, treatment
compliance, anxiety status and scores of nursing satisfaction after nursing were compared between the two groups. Results
After surgery, granulation coverage time and granulation healing time in the observation group were significantly shorter than
those in the control group, the differences were statistically significant (P ＜0.05). The treatment compliance rates in terms of
diet control, proper exercise and regular reexamination in the observation group were significantly higher than those in the
control group (P ＜0.05). After 3 months of nursing, scores of Self-rating anxiety scale (SAS) and Hamilton anxiety scale (HAMA)
were significantly lower than those before nursing in both groups, which were significantly lower in the observation group than
the control group (P＜0.05). The scores of patients’ nursing satisfaction with communication ability, operating skills and medical
cooperation in the observation group were significantly higher than those in the control group (P＜0.05). Conclusion The doctornurse
integration specialized management is beneficial to accelerate wound recovery of patients with chronic wounds undergoing
perforator flap repair, soothe their anxiety, with higher treatment compliance and nursing satisfaction.

相似文献/References:

[1]刘 蓓,王 芳,陈 琳,等. CD100在正常皮肤、急性创面及慢性创面中的表达研究[J].中国美容医学,2018,(10):133.
　LIU Bei,WANG Fang,CHEN Lin,et al.Expression of CD100 in Normal Tissue, Acute Wound and Chronic Wound[J].Medical Aesthetics and Beauty,2018,(8):133.
[2]邱 尧,岳毅刚,邵家松,等. miR-199b促进慢性创面血管化的作用及机制研究[J].中国美容医学,2019,(01):89.
　QIU Yao,YUE Yi-gang,SHAO Jia-song,et al. Study on the Role and Mechanism of miR-199b in Promoting Vascularization of Chronic Wound[J].Medical Aesthetics and Beauty,2019,(8):89.
[3]孙充洲,王帅道,赵婷慧,等.二次负压封闭引流对小儿大面积深Ⅱ度烧伤创面愈合的疗效研究[J].中国美容医学,2019,(03):31.
　SUN Chong-zhou,WANG Shuai-dao,ZHAO Ting-hui,et al. Effect of Twice Vacuum Sealing Drainage on Large Area Deep Ⅱ Degree BurnWounds in Children[J].Medical Aesthetics and Beauty,2019,(8):31.
[4]刘 毅. 急慢性创面的美容修复[J].中国美容医学,2019,(04):2.
　LIU Yi. Cosmetic Repair of Acute and Chronic Wounds[J].Medical Aesthetics and Beauty,2019,(8):2.
[5]冯 欢,刘仕勇,周 燕,等. miRNA-198靶向调控表皮干细胞内FGFR1表达诱导慢性创面形成的机制研究[J].中国美容医学,2019,(05):76.
　FENG Huan,LIU Shi-yong,ZHOU Yan,et al. The Study of miRNA-198 Targeted Regulation of FGFR1 Expression in Epidermal StemCells to Induce the Mechanism of Chronic Wound[J].Medical Aesthetics and Beauty,2019,(8):76.
[6]张筱薇综述,徐 刚审校. 脂肪间充质干细胞在糖尿病足治疗中的研究进展[J].中国美容医学,2019,(10):165.
　ZHANG Xiao-wei,XU Gang. Research Progress of Adipose Stem Cells in the Treatment of Diabetic Foot[J].Medical Aesthetics and Beauty,2019,(8):165.
[7] 罗伟华,蒋 亮,贺万强,等. 富血小板纤维蛋白修复难愈性骨外露创面疗效探讨[J].中国美容医学,2020,(7):71.
　 LUO Wei-hua,JIANG Liang,HE Wan-qiang,et al. Effect of Platelet-rich Fibrin in Repairing Refractory Bone Exposure Wounds[J].Medical Aesthetics and Beauty,2020,(8):71.
[8] 任少强,杨 静,杨子政. 中厚皮片在慢性创面修复中的应用[J].中国美容医学,2020,(7):77.
　 REN Shao-qiang,YANG Jing,YANG Zi-zheng. Application of Medium-thickness Skin Grafts in Chronic Wound Repair[J].Medical Aesthetics and Beauty,2020,(8):77.
[9]胡晓东,李永忠,蒋 朔.皮肤牵张闭合器联合负压创面治疗技术在慢性创面修复中的应用[J].中国美容医学,2022,(3):69.
　HU Xiaodong,LI Yongzhong,JIANG Shuo.The Application of Skin Stretch Occluder Combined with Negative Pressure Wound Treatment Technology in Chronic Wound Repair[J].Medical Aesthetics and Beauty,2022,(8):69.
[10]祁永章,陈亚莉,王滋兴,等.红景天苷在高海拔地区创伤性慢性创面愈合中的作用及其研究[J].中国美容医学,2022,(3):96.
　QI Yongzhang,CHEN Yali,WANG Zixing,et al.Study on the Role of Salidroside in Traumatic Chronic Wound Healing in High Altitude Area[J].Medical Aesthetics and Beauty,2022,(8):96.

更新日期/Last Update: 2021-09-10