护理干预对外伤性上肢断肢再植术后患者的疗效研究.docx

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护理干预对外伤性上肢断肢再植术后患者的疗效研究

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【中图分类号】R473.6【文献标识码】B【文章编号】1672-5085(2011)13-0104-03

【摘要】目的断肢为突发性损伤，没有心理准备，易产生悲观情绪，出现恐惧和忧虑心理，本文通过对外伤性上肢断肢再植术后患者的临床护理干预，采用对照试验评估治疗后再植成功率。方法2009年6月－2010年9月，收治36例外伤性上肢断肢再植术患者。其中18例给予护理干预治疗，每周干预一次，每次20～40分钟连续干预一个月（实验组）；另18例行正常治疗（对照组）。两组患者一般资料比较差异均无统计学意义（P0.05），具有可比性。于干预治疗前及治疗后两组间采用焦虑程度(SAS)、抑郁程度(SDS)、总体幸福感(GWB)进行分值比较。结果实验组患者进行护理干预后一个月，重新与对照组进行比较，结果显示护理干预组患者的焦虑程度在干预前后有显著差异(P0.05)，抑郁程度与总体幸福感评定差异不显著(P0.05)。结论断肢再植术后护理干预治疗后，可早期发现病情、及时处理并发症，消除患者心理压力，积极配合各项治疗，大大提高了断肢再植术后患肢成活率。

【关键词】断肢再植术护理健康教育

OutcomesResearchofUpperlimbreplantationinTraumaticPatientswithNursingintervention

【Abstract】ObjectiveDismembermentofsuddeninjury,.noprepared,easytopessimism,fearandanxietyappearpsychology,thisarticlethroughtraumaticupperlimbclinicalcareofpatientsafterintervention,theuseofcontrolledtrialsevaluatingtreatmentsuccessrateofreplantation.MethodsBetweenJune2009andSeptember2010,36TraumaticpatientswithUpperlimbreplantationwereaccepted.Nursinginterventionwasperformedin18patientswithUpperlimbreplantation,Interventiononceaweek,20to40minuteseachtime,continuouslyinterventionamonth(Experimentalgroup);therest18patientswereservedascontrols(Controlgroup).Generalinformationonthetwogroupswerenotstatisticallysignificantdifferences(P0.05);Beforeandaftertreament(Self-RatingAnxietyScale,SAS),(Self-ratingDepressionScale,SDS),(GlobleWell-Being,GWB)wereassessedatComparisonbetweengroups,andthenobtaintheresults.ResultsPatientsofexperimentalgroupafternursinginterventiononemonth,tocomparedwithcontrolgroup,theresultsshowofexperimentalgroupsignificantlyimproved(P0.05);buttherewasnosignificantdifferencewithSDSscoresandGWBscoresafter1Monthintheexperimentalgroup(P0.05).ConclusionsNursinginterventionwiththeTraumaticpatientsofUpperlimbreplantationaftertreatment,theearlydetectionofdisease,timelymanagementofcomplications,eliminationofpatientswithpsychologicalstress,activelycooperatewiththetreatment,greatlyimprovingthesurvivalrateofreplantedlimbsafter.

【Keywords】U