烧伤整形植皮患者术后的规范化护理
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摘要
目的探讨烧伤整形植皮患者术后的规范化护理方法。方法对182例患者烧伤植皮整形术后实施规范化管理,对心理、疼痛、出血、营养支持、感染、对症管理和出院指导等问题进行探讨。结果 182例患者仅有2例出现大腿供皮区散在脓肿,溃疡清洗换药后愈合,其余6～12d愈合,经过半年回访,瘢痕不明显,且柔软。结论重视并规范管理可减轻患者的术后疼痛,出血、感染等问题,加速创面愈合,恢复正常生理功能。
Objective To investigate the standardized nursing methods for postoperative burn skin grafting patients. Methods 182 patients underwent standardized management after burn skin grafting, and discussed psychological, pain, bleeding, nutritional support, infection, symptomatic management and discharge guidance. Results Only 2 of the 182 patients had scattered abscesses in the donor thigh area. They recovered after the sore dressing. Others healed at 6-12 days. The scars were not obvious and soft after half a year. Conclusion Paying attention to and standardizing management can alleviate postoperative pain, bleeding, infection and other problems, accelerate wound healing and restore normal physiological functions.
Objective To investigate the standardized nursing methods for postoperative burn skin grafting patients. Methods 182 patients underwent standardized management after burn skin grafting, and discussed psychological, pain, bleeding, nutritional support, infection, symptomatic management and discharge guidance. Results Only 2 of the 182 patients had scattered abscesses in the donor thigh area. They recovered after the sore dressing. Others healed at 6-12 days. The scars were not obvious and soft after half a year. Conclusion Paying attention to and standardizing management can alleviate postoperative pain, bleeding, infection and other problems, accelerate wound healing and restore normal physiological functions.
引文
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[16]陈永峰,王大洪,王爱武.烧伤患者切痂植皮术后感染的危险因素分析及防治策略[J].临床医学研究与实践,2017,2(9):79-80.
[17]尹丹萍,张华昌,张震,等.植皮术后患者感染的相关危险因素分析与诊治[J].中外女性健康研究,2017(1):56-57.
[18]朱庆艳.探讨烧伤整形植皮患者术后供皮区的护理分析[J].中国卫生标准管理,2013,4(22):52-54.DOI:10.3969/J.ISSN.1674-9316.2013.22.025
[19]查选平,林勇,吕炎,等.腋窝瘢痕挛缩畸形植皮术后包扎方法的改进[J].中国美容医学,2014,23(1):15-18.
[20]吕建英.VSD在手足外科中的应用和护理[J].全科护理,2 0 1 5(2):1 4 8-1 4 9.D O I:1 0.3 9 6 9/j.issn.16744748.2015.02.025
[21]杜本军,刘晓军,胡志奇.会阴部及肛周重度瘢痕挛缩畸形整复治疗的临床观察[J].中国美容整形外科杂志,2012,23(5):266-269.DOI:10.3969/j.issn.1673-7040.2012.05.004
[2]李卉梅,刘小芳,张强,等.康复延伸指导对大面积烧伤患者的疗效观察[J].中国康复,2009(5):335-335.DOI:10.3870/zgkf.2009.05.018.
[3]吴宗耀.烧伤瘢痕的防治难点[J].中华烧伤杂志,2004,20(2):67-68.DOI:10.3760/cma.j.issn.1009-2587.2004.02.002.
[4]李洁.探究在缓解烧伤植皮术后患者疼痛感和焦虑感中护理干预的作用[J].世界最新医学信息文摘,2016,16(60):288-289.DOI:10.3969/j.issn.1671-3141.2016.60.234
[5]陈小艳,刘丽华,肖文刚.护理干预对浅Ⅱ度烧伤患者术后疼痛的影响[J].河北医药,2016,38(17):2718-2720.DOI:10.3969/j.issn.1002-7386.2016.17.049
[6]李婧,刘小凡.烧伤患者换药过程中疼痛管理的护理分析[J].实用临床护理学电子杂志,2018,3(11):142-146.
[7]谭静,王文萍,陈静.综合护理干预对烧伤患者换药疼痛的影响[J].中外医学研究,2017,15(11):100-102.DOI:10.14033/j.cnki.cfmr.2017.11.055
[8]刘旭丽,秦爱玲,王建.烧伤疼痛多模式护理干预疗效分析[J].中国疼痛医学杂志,2016,22(9):719-720.DOI:10.3969/j.issn.1006-9852.2016.09.019
[9]钟少州,李承宁,刘玉梅.急诊切痂植皮治疗大面积烧伤的临床可行性研究[J].基层医学论坛,2018(10):1362-1363.
[10]蔡小娟.烧伤创面出血的护理体会[J].交通医学,2003,17(2):227-228.DOI:10.3969/j.issn.1006-2440.2003.02.085
[11]王宇,滕善军.烧伤并发上消化道出血临床分析[J].中国医药导报,2009,6(17):166-166.DOI:10.3969/j.issn.1673-7210.2009.17.120
[12]苏为.烧伤合并上消化道大出血识别及急诊手术治疗[J].宁夏医学杂志,2000,22(2):95-96.DOI:10.3969/j.issn.1001-5949.2000.02.019
[13]蔡少甫,郑庆亦,陈锦河,等.烧伤削切痂植皮手术中的综合止血措施[J].东南国防医药,2003,5(5):339-340.DOI:10.3969/j.issn.1672-271X.2003.05.008
[14]王丽敏,董娟,景福琴.严重烧伤病人营养支持的护理[J].河南医学高等专科学校学报,2012,24(2):214-215.DOI:10.3969/j.issn.1008-9276.2012.02.043
[15]韩春茂,周业平,孙永华,等.成人烧伤营养支持指南[J].中华烧伤杂志,2009,25(3):238-240.10.3760/cma.j.issn.1009-2587.2009.03.030
[16]陈永峰,王大洪,王爱武.烧伤患者切痂植皮术后感染的危险因素分析及防治策略[J].临床医学研究与实践,2017,2(9):79-80.
[17]尹丹萍,张华昌,张震,等.植皮术后患者感染的相关危险因素分析与诊治[J].中外女性健康研究,2017(1):56-57.
[18]朱庆艳.探讨烧伤整形植皮患者术后供皮区的护理分析[J].中国卫生标准管理,2013,4(22):52-54.DOI:10.3969/J.ISSN.1674-9316.2013.22.025
[19]查选平,林勇,吕炎,等.腋窝瘢痕挛缩畸形植皮术后包扎方法的改进[J].中国美容医学,2014,23(1):15-18.
[20]吕建英.VSD在手足外科中的应用和护理[J].全科护理,2 0 1 5(2):1 4 8-1 4 9.D O I:1 0.3 9 6 9/j.issn.16744748.2015.02.025
[21]杜本军,刘晓军,胡志奇.会阴部及肛周重度瘢痕挛缩畸形整复治疗的临床观察[J].中国美容整形外科杂志,2012,23(5):266-269.DOI:10.3969/j.issn.1673-7040.2012.05.004