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目的:探讨舒适护理应用于手足显微外科断指再植术患者围手术期临床护理中的效果。方法:选取中山市中医院2013年1月至2015年1月所收治86例患者,随机分为对照组和观察组各43例。对照组采用常规护理,观察组在常护基础上加用舒适护理干预模式。入院时与出院时,均对两组患者进行焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,比较患者焦虑、抑郁症状改善情况;并于出院后随访半年,评价患指功能。结果:观察组经舒适护理干预后,出院时,SAS评分为(34.29±8.13)分、SDS评分为(61.35±7.39)分,显著低于对照组的(45.15±6.17)分、(75.31±7.22)分,差异具有统计学意义(P<0.05)。观察组经联合护理干预后,指间关节功能恢复优秀12例、良好18例,其指间关节功能恢复优良率为69.77%,显著优于对照组的3例、13例及37.21%,差异具有统计学意义(P<0.01)。结论:舒适护理应用于断指再植患者围手术期护理中,可有效减少焦虑、抑郁等负面情绪,提高治疗依从性,从而改善临床疗效及生存质量。
Objective: To investigate the effect of comfortable nursing in perioperative clinical nursing of hand and foot microsurgical replantation of severed finger. Methods: A total of 86 patients admitted from January 2013 to January 2015 in Zhongshan Hospital of Traditional Chinese Medicine were randomly divided into control group and observation group of 43 cases. The control group was treated with routine nursing. The observation group was given the mode of comfortable nursing intervention on the basis of regular care. At admission and at discharge, both groups were scored on self-rating anxiety scale (SAS) and self-rating depression scale (SDS) to compare their anxiety and depression symptoms. Patients were followed up for six months after discharge, Features. Results: The SAS score was (34.29 ± 8.13) and the SDS score was (61.35 ± 7.39), significantly lower than the control group (45.15 ± 6.17), (75.31 ± 7.22 ) Points, the difference was statistically significant (P <0.05). In the observation group, 12 cases of excellent inter-finger joint function recovery and 18 cases of excellent inter-finger joint function recovery were excellent in the observation group, with an excellent and good rate of 69.77% in the inter-finger joint function recovery, significantly better than 3 cases in the control group, 13 cases and 37.21% Statistical significance (P <0.01). CONCLUSIONS: Comfortable nursing applied in perioperative nursing of severed finger replantation patients can effectively reduce the negative emotions such as anxiety and depression, improve the treatment compliance, and improve the clinical curative effect and quality of life.