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VSD负压引流技术治疗开放性骨折合并皮肤软组织缺损的护理研究 被引量:12

Nursing Research of VSD Negative Pressure Drainage Technology in the Treatment of Open Fractures with Skin and Soft Tissue Defects
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摘要 目的:探讨优质护理方法在VSD负压引流技术中的应用效果,提升VSD术护士护理能力。方法:对本院2013年1月-2014年11月收治的25例开放性骨折合并皮肤软组织缺损实施VSD负压引流治疗的患者,结合优质护理服务要求,运用护理程序的方法,通过责任护士负责,实施评估-计划-实施-评价-优化的护理路径,运用术前"针对性护理"、术后"八个关键环节护理"的具体方法;采用统计学方法统计近2年的病例,检查术前、术后问题,统计实施问题护理结果、患者满意率、平均住院时间,验证护理方法的科学与有效性。结果:25例VSD术前问题涉及5个方面;术后问题涉及8个方面,经护理后解决率为100%。数据显示有形资产:患者满意度99.98%;患者住院时间缩短平均9.97 d,均较本组统计数据前结果优化。无形资产:护士责任意识与护理能力及方法提高。结论:VSD术护理结合优质护理服务,运用护理程序的方法,采取术前针对护理、术后关键环节护理是一种有效的值得业内借鉴的护理方法。 Objective: To investigate the application effect of high quality nursing methods in VSD negative pressure drainage technology, improve the nursing ability of nurses in VSD.Method: 25 patients with open fractures with skin and soft tissue defects admitted to our hospital from January 2013 to November 2014 were treated with VSD negative pressure drainage, combined with high quality nursing service, used the method of nursing program, nurse in charge of the responsibility, the assessment-plan-implementation-evaluation-optimization of nursing path was implemented, the use of preoperative "targeted nursing", after the "eight key links of nursing" concrete method.Statistical methods were used for the eases of last 2 years, checked the problems before operation and postoperative, the implementation of the results of nursing care, the patient satisfaction rate, the average length of hospital stay were counted, the science and effectiveness of nursing method was verified.Result: 25 cases of VSD preoperative issue were involved five aspects, postoperative problems were involved eight aspects, the settlement rate was 100% after nursing care.Data showed that the tangible assets: the satisfaction of patients was 99.98% ; shorten the hospital stay of patients with an average of 9.97 days, the results were optimized compared with the group before the statistical data.Intangible assets: the nurses' awareness of responsibility and care skills and methods were improved.Conclusion: VSD combined with operation nursing methods of high quality nursing service, using the nursing procedure, take the key link of preoperative nursing and postoperative nursing is an effective nursing method and is worthy of reference in the industry.
机构地区 河南省职工医院
出处 《中国医学创新》 CAS 2015年第26期100-102,共3页 Medical Innovation of China
关键词 VSD负压引流技术 优质护理服务 针对性护理 关键环节 护理措施 VSD negative pressure drainage technology High quality nursing service Targeted nursing Key link Nursing measures
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