摘要
目的对比研究瘢痕旁和瘢痕下扩张器植入术围术期的护理。方法随机选取2016年1月—2020年12月该院收治的90例采用瘢痕旁和瘢痕下扩张器植入治疗较大面积瘢痕疙瘩的患者作为研究对象,均行瘢痕旁和瘢痕下扩张器植入术进行治疗,根据围术期护理服务的不同将90例患者平均分为对照组和观察组,每组45例,围术期分别应用常规护理和优质护理服务。对比两组患者术后不良反应发生情况、生活质量评分以及护理满意度。结果观察组患者的不良反应总发生率(6.67%)明显低于对照组(22.22%),差异有统计学意义(P<0.05)。护理前,两组患者生活质量各项指标对比差异无统计学意义(P>0.05);护理后,两组患者生活质量各项指标均有所提升,组内对比差异有统计学意义(P<0.05);护理后观察组患者的生活质量各项指标评分[(85.48±6.32)分、(84.43±5.22)分、(84.56±7.76)分、(84.93±7.12)分、(80.66±5.37)分、(83.04±7.33)分、(85.20±6.71)分]均高于对照组,差异有统计学意义(t=5.930、6.873、3.618、4.631、5.679、2.231、5.733,P<0.05)。观察组患者护理总满意度(97.78%)明显高于对照组(82.22%),差异有统计学意义(P<0.05)。结论瘢痕旁和瘢痕下扩张器植入在治疗较大面积瘢痕疙瘩方面均为比较理想的方式,但相对于常规护理来说,优质护理更能有效降低患者的不良反应发生率,提高患者的生活质量以及护理满意度,因此,优质护理可作为推荐干预模式在瘢痕旁和瘢痕下扩张器植入围术期中推广、应用。
Objective To compare and study the perioperative nursing for the implantation of dilators beside and under the scar.Methods From January 2016 to December 2020,90 patients in the hospital who were treated with para-scar and sub-scar dilator implantation to treat larger keloids were randomly selected as the subjects.All patients underwent scars,dilator implantation in the side and under the scar for treatment.According to the different perioperative nursing services,90 patients were divided into control group and observation group,with 45 cases in each group.During the perioperative period,routine nursing and quality nursing services were applied.The incidence of adverse reactions,quality of life scores,and nursing satisfaction were compared between the two groups of patients.Results The total incidence of adverse reactions in the observation group(6.67%)was significantly lower than that in the control group(22.22%),the difference was statistically significant(P<0.05).Before nursing,the comparison of various indicators of the quality of life of the two groups of patients,the difference was not statistically significant(P>0.05).Aater nursing,all indicators of the quality of life of the two groups of patients were improved,and the intra-group comparison the difference was statistically significant(P<0.05).The scores of various indicators of the quality of life of the patients in the observation group after nursing were[(85.48±6.32)points,(84.43±5.22)points,(84.56±7.76)points,(84.93±7.12)points,(80.66±5.37)points,(83.04±7.33)points,(85.20±6.71)points]were higher than those of the control group,and the difference was statistically significant(t=5.930,6.873,3.618,4.631,5.679,2.231,5.733,P<0.05).The nursing total satisfaction of patients in the observation group(97.78%)was significantly higher than that of the control group(82.22%),the difference was statistically significant(P<0.05)Conclusion The implantation of dilators adjacent to the scar and under the scar is an ideal way to treat larger areas of keloids.But
作者
陈色美
CHEN Semei(Plastic Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350004 China)
出处
《中外医疗》
2022年第6期140-143,148,共5页
China & Foreign Medical Treatment
关键词
瘢痕旁
瘢痕下
扩张器植入
护理
围术期
生活质量
Next to the scar
Under the scar
Implantation of dilator
Nursing
Perioperative period
Quality of life
