董莉

[摘要]目的 探討對斷指再植（RAF）手術(shù)患者實施優(yōu)質(zhì)護(hù)理干預(yù)的應(yīng)用效果。方法 選取2016年2月～2018年1月我院收治的68例RAF手術(shù)患者，按分層隨機化分組法分為對照組和觀察組，每組各34例。對照組給予常規(guī)護(hù)理，觀察組在常規(guī)護(hù)理基礎(chǔ)上行優(yōu)質(zhì)護(hù)理干預(yù)，比較兩組的護(hù)理效果。結(jié)果 觀察組斷指再植體成活率為100.00%，高于對照組的82.35%，住院時間短于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）;護(hù)理后，觀察組的焦慮、抑郁、壓力評分明顯低于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。觀察組護(hù)理總滿意度為97.06%，高于對照組的65.71%，差異有統(tǒng)計學(xué)意義（χ2=9.510，P=0.002）。結(jié)論 優(yōu)質(zhì)護(hù)理干預(yù)在RAF手術(shù)患者中的應(yīng)用，可緩解患者的負(fù)面情緒，積極配合治療，效果顯著。

[關(guān)鍵詞]斷指再植手術(shù);優(yōu)質(zhì)護(hù)理干預(yù);常規(guī)護(hù)理

[中圖分類號] R473.6? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1674-4721（2019）10（a）-0250-03

[Abstract] Objective To investigate the application effect of quality nursing intervention in patients undergoing replantation of amputated fingers（RAF）. Methods A total of 68 patients with RAF treated in our hospital from February 2016 to January 2018 were selected and divided into control group and observation group according to stratified randomization group， 34 cases in each group. The control group was given conventional nursing， the observation group was given advanced quality nursing intervention on the basis of routine nursing， nursing effects were compared between the two groups. Results In the observation group， the survival rate of replanted finger replantation was 100.00%， higher than that of the control group （82.35%）， and the hospitalization time was shorter than that of the control group， the differences were statistically significant （P<0.05）. After nursing， the anxiety， depression and stress scores of the observation group were obvious lower than those of the control group， with statistically differences （P<0.05）. The satisfaction degree of nursing was 97.06% in the observation group， higher than 65.71% in the control group， with statistically difference （P<0.05）. Conclusion The application of high-quality nursing intervention in patients with RAF can alleviate negative emotions and actively cooperate with treatment.

[Key words] Replantation of amputated fingers; Quality nursing intervention; Routine nursing

斷指再植（RAF）手術(shù)是指在顯微鏡下手術(shù)，將完全離斷指體或不完全離斷指體進(jìn)行原位再植，使指體恢復(fù)血液流通，并獲得成活[1-2]。但RAF手術(shù)屬于精細(xì)性操作，手術(shù)難度大，過程復(fù)雜，患者圍術(shù)期普遍存在焦慮、不安等情緒，影響手術(shù)操作及術(shù)后恢復(fù)。另外RAF手術(shù)成功與否，不僅取決于手術(shù)技術(shù)，充分術(shù)前準(zhǔn)備、術(shù)后精心護(hù)理也影響著患者術(shù)后恢復(fù)情況[3]?？傮w來說，RAF手術(shù)患者術(shù)后恢復(fù)效果受到操作人員及護(hù)理人員經(jīng)驗水平的影響，故根據(jù)此研究，總結(jié)經(jīng)驗教訓(xùn)及護(hù)理操作，對RAF手術(shù)患者采取優(yōu)質(zhì)護(hù)理干預(yù)，旨為臨床護(hù)理提供參考依據(jù)，現(xiàn)報道如下。

1資料與方法

1.1一般資料

選取2016年2月～2018年1月我院收治的68例RAF手術(shù)患者。納入標(biāo)準(zhǔn)：①患者均自愿參加本研究，且簽署知情同意書;②自愿接受RAF手術(shù)治療;③本研究經(jīng)我院醫(yī)學(xué)倫理委員會審批標(biāo)準(zhǔn)。排除標(biāo)準(zhǔn)：①精神性疾病、各器官障礙者;②合并嚴(yán)重外傷者;③中途退出本研究者。按分層隨機化分組法分為對照組和觀察組，每組各34例。對照組中，男22例，女12例;年齡24～66歲，平均（45.84±5.19）歲;撕裂傷12例，重物砸傷10例，擠壓傷8例，切割傷4例;離斷時間20 min～8 h，平均（2.15±0.49）h;受教育時間3～16年，平均（9.16±1.46）年。觀察組中，男20例，女14例;年齡22～65歲，平均（46.15±5.24）歲;撕裂傷10例，重物砸傷10例，擠壓傷8例，切割傷6例;離斷時間30 min～8 h，平均（2.21±0.52）h;受教育時間3～15年，平均（9.20±1.45）年。兩組的一般資料比較，差異無統(tǒng)計學(xué)意義（P>0.05），具有可比性。