Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed fing...Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were included.They were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing care.The comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient satisfaction.Results:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(P<0.05).Meanwhile,the patient satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Perioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant benefits.It reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing satisfaction.These findings underscore the importance and applicability of such care practices.展开更多
目的探讨快速康复外科(enhanced recovery after surgery,ERAS)联合绿色通道模式在治疗急诊断指患者中的应用。方法选取2021年1月—2022年2月80例单指断指接受急诊手术的患者,按组间基本特征匹配的原则分为观察组和对照组,每组40例。对...目的探讨快速康复外科(enhanced recovery after surgery,ERAS)联合绿色通道模式在治疗急诊断指患者中的应用。方法选取2021年1月—2022年2月80例单指断指接受急诊手术的患者,按组间基本特征匹配的原则分为观察组和对照组,每组40例。对照组使用标准的急救通道和普通围术期程序,观察组采取ERAS联合绿色通道模式。分析比照两组的手术等待期、断指成功恢复率、术后不良反应、日常生活能力(activies of daily living,ADL)、视觉模拟评分法(visual analogue scale,VAS)和患者家属对照护工作的满意程度等。结果观察组检验时间、急诊分诊时间、入院到手术的时间均短于对照组,组间比较差异具有统计学意义(P<0.05);观察组断指恢复优良率高于对照组,并发症发生率低于对照组,组间比较差异具有统计学意义(P<0.05);观察组的ADL评分高于对照组,VAS评分低于对照组,组间比较差异均具有统计学意义(P<0.05);观察组患者家属对照护的满意程度优于对照组,组间比较差异具有统计学意义(P<0.05)。结论ERAS与绿色通道结合能够很好地提高患者救治的时间,增加断指的恢复率,缓解患者的忧虑,降低并发症发生率,提高患者家属的满意度。展开更多
文摘Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were included.They were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing care.The comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient satisfaction.Results:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(P<0.05).Meanwhile,the patient satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Perioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant benefits.It reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing satisfaction.These findings underscore the importance and applicability of such care practices.
文摘目的探讨快速康复外科(enhanced recovery after surgery,ERAS)联合绿色通道模式在治疗急诊断指患者中的应用。方法选取2021年1月—2022年2月80例单指断指接受急诊手术的患者,按组间基本特征匹配的原则分为观察组和对照组,每组40例。对照组使用标准的急救通道和普通围术期程序,观察组采取ERAS联合绿色通道模式。分析比照两组的手术等待期、断指成功恢复率、术后不良反应、日常生活能力(activies of daily living,ADL)、视觉模拟评分法(visual analogue scale,VAS)和患者家属对照护工作的满意程度等。结果观察组检验时间、急诊分诊时间、入院到手术的时间均短于对照组,组间比较差异具有统计学意义(P<0.05);观察组断指恢复优良率高于对照组,并发症发生率低于对照组,组间比较差异具有统计学意义(P<0.05);观察组的ADL评分高于对照组,VAS评分低于对照组,组间比较差异均具有统计学意义(P<0.05);观察组患者家属对照护的满意程度优于对照组,组间比较差异具有统计学意义(P<0.05)。结论ERAS与绿色通道结合能够很好地提高患者救治的时间,增加断指的恢复率,缓解患者的忧虑,降低并发症发生率,提高患者家属的满意度。
