知信行模式对瘢痕预构皮瓣治疗颜面部大面积烧伤患者的疗效探究
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摘要
目的研究对瘢痕预构皮瓣治疗颜面部大面积烧伤患者采用知信行护理模式干预的疗效。方法选取40例于2016年1月至2018年6月来我院行瘢痕预构皮瓣治疗的颜面部大面积烧伤患者,随机分为观察组和对照组各20例,观察组以知信行护理模式为指导实施护理干预,对照组给予常规护理干预。比较干预后两组的不良情绪评分、疾病认知度及并发症发生率。结果干预后观察组的SDS评分、SAS评分及并发症发生率均低于对照组(P <0.05);干预后观察组的认知度(90.00%)高于对照组的(55.00%)(P <0.05)。结论对瘢痕预构皮瓣治疗颜面部大面积烧伤患者采用知信行护理模式干预,可促进患者精神状态达到最佳,提高疾病认知,降低不良反应。
Objective To study the effect of knowledge, belief and practice nursing intervention on patients with large area facial burn treated with scar prefabricated skin flap. Methods Forty patients with large area facial burn treated with scar prefabricated skin flaps in our hospital from January 2015 to June 2018 were randomly divided into observation group and control group, 20 cases in each group. The observation group was guided by knowledge, belief and practice nursing mode, while the control group was given routine nursing intervention. The adverse emotion score, disease awareness and the incidence of complications were compared between the two groups after intervention.Results After intervention, the SDS score, SAS score and the incidence of complications in the observation group were lower than those in the control group(P < 0.05), and the cognitive level in the observation group(90.00%) was higher than that in the control group(50.00%)(P < 0.05).Conclusion Intervention of knowledge, belief and practice nursing model in the treatment of large area facial burn patients with scar prefabricated skin flaps can promote patients' mental state to reach the best,improve disease awareness and reduce adverse reactions.
Objective To study the effect of knowledge, belief and practice nursing intervention on patients with large area facial burn treated with scar prefabricated skin flap. Methods Forty patients with large area facial burn treated with scar prefabricated skin flaps in our hospital from January 2015 to June 2018 were randomly divided into observation group and control group, 20 cases in each group. The observation group was guided by knowledge, belief and practice nursing mode, while the control group was given routine nursing intervention. The adverse emotion score, disease awareness and the incidence of complications were compared between the two groups after intervention.Results After intervention, the SDS score, SAS score and the incidence of complications in the observation group were lower than those in the control group(P < 0.05), and the cognitive level in the observation group(90.00%) was higher than that in the control group(50.00%)(P < 0.05).Conclusion Intervention of knowledge, belief and practice nursing model in the treatment of large area facial burn patients with scar prefabricated skin flaps can promote patients' mental state to reach the best,improve disease awareness and reduce adverse reactions.
引文
[1]张秀妮,蒋凤婷,黎瑞仪,等.针对性护理干预对减轻颜面部烧伤后口周瘢痕形成的影响[J].中国现代药物应用,2018,12(14):175-177.DOI:10.14164/j.cnki.cn11-5581/r.2018.14.102
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[3]陈双双.基于知信行模式的护理干预对高血压患者疾病认知、自护能力及血压控制的影响[J].河南医学研究,2018,27(19):3612-3613.DOI:10.3969/j.issn.1004-437X.2018.19.096.
[4]周蓓,杨雨婷,凌笑笑,等.早期心理干预对整形美容求美者心理状况以及术后满意度的影响[J].中国美容整形外科杂志,2018,29(6):380-381.DOI:10.3969/j.issn.1673-7040.2018.06.020.
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[9]Koch M,Jalyzada K,Grundtner P,et al.Treatment of the donor site of free radial flaps:vacuum sealing versus conventional wound care[J].Acta Otolaryngol,2017,137(12):1301-1306.
[10]王海蓉,陆文婷.应用预构皮瓣治疗颜面部大面积烧伤后瘢痕患者的护理体会[J].解放军护理杂志,2017,34(04):59-61.DOI:10.3969/j.issn.1008-9993.2017.04.015
[11]孙聪北,孙新宇,李杰,等.知信行护理模式在颜面部大面积烧伤后瘢痕预构皮瓣治疗患者中的应用效果[J].护理实践与研究,2018,15(02):92-94.DOI:10.3969/j.issn.1672-9676.2018.02.039
[12]李婷.颜面部烧伤后早期疤痕治疗的护理干预[J].中国继续医学教育,2015,(26):205-206.DOI:10.3969/j.issn.1674-9308.2015.26.148.
[13]侯海静,陈丽英.颜面部烧伤后患者早期瘢痕治疗的系统性护理干预[J].护理实践与研究,2016,13(17):82-83.DOI:10.3969/j.issn.1672-9676.2016.17.034.
[14]何巧宁,卢丽滨.知信行护理模式在乳腺癌患者术后的应用效果观察[J].中外医学研究,2018,16(28):66-67.DOI:10.14033/j.cnki.cfmr.2018.28.032.
[15]张敏.知信行理论强化护理缓解肝癌患者术后焦虑及抑郁[J].国际护理学杂志,2018,37(22):3058-3061.DOI:10.3760/cma.j.issn.1673-4351.2018.22.010.
[2]孙守亮,黄伟.颞浅筋膜瓣预构皮瓣修复面部大面积瘢痕的临床研究[J].中国医疗美容,2018,8(5):18-20.DOI:10.19593/j.issn.2095-0721.2018.05.006.
[3]陈双双.基于知信行模式的护理干预对高血压患者疾病认知、自护能力及血压控制的影响[J].河南医学研究,2018,27(19):3612-3613.DOI:10.3969/j.issn.1004-437X.2018.19.096.
[4]周蓓,杨雨婷,凌笑笑,等.早期心理干预对整形美容求美者心理状况以及术后满意度的影响[J].中国美容整形外科杂志,2018,29(6):380-381.DOI:10.3969/j.issn.1673-7040.2018.06.020.
[5]张秀妮,蒋凤婷,黎瑞仪,等.针对性护理干预对减轻颜面部烧伤后口周瘢痕形成的影响[J].中国现代药物应用,2018,12(14):175-177.DOI:10.14164/j.cnki.cn11-5581/r.2018.14.102.
[6]Weaver TS,Wester JL,Gleysteen JP,et al.Surgical outcomes in the elderly patient after osteocutaneous free flap transfer[J].Laryngoscope,2014,124(11):2484-2488.
[7]王付勇,李华强.岛状颞浅筋膜瓣移植预构颈部扩张轴型皮瓣修复面部大面积瘢痕畸形[J].中华实验外科杂志,2017,34(3):529-530.DOI:10.3760/cma.j.issn.1001-9030.2017.03.056.
[8]杜玉巧,赵欣.严重面部瘢痕患者行皮瓣修复围手术期护理[J].中国医疗美容,2018,8(8):74-78.DOI:10.19593/j.issn.2095-0721.2018.08.022.
[9]Koch M,Jalyzada K,Grundtner P,et al.Treatment of the donor site of free radial flaps:vacuum sealing versus conventional wound care[J].Acta Otolaryngol,2017,137(12):1301-1306.
[10]王海蓉,陆文婷.应用预构皮瓣治疗颜面部大面积烧伤后瘢痕患者的护理体会[J].解放军护理杂志,2017,34(04):59-61.DOI:10.3969/j.issn.1008-9993.2017.04.015
[11]孙聪北,孙新宇,李杰,等.知信行护理模式在颜面部大面积烧伤后瘢痕预构皮瓣治疗患者中的应用效果[J].护理实践与研究,2018,15(02):92-94.DOI:10.3969/j.issn.1672-9676.2018.02.039
[12]李婷.颜面部烧伤后早期疤痕治疗的护理干预[J].中国继续医学教育,2015,(26):205-206.DOI:10.3969/j.issn.1674-9308.2015.26.148.
[13]侯海静,陈丽英.颜面部烧伤后患者早期瘢痕治疗的系统性护理干预[J].护理实践与研究,2016,13(17):82-83.DOI:10.3969/j.issn.1672-9676.2016.17.034.
[14]何巧宁,卢丽滨.知信行护理模式在乳腺癌患者术后的应用效果观察[J].中外医学研究,2018,16(28):66-67.DOI:10.14033/j.cnki.cfmr.2018.28.032.
[15]张敏.知信行理论强化护理缓解肝癌患者术后焦虑及抑郁[J].国际护理学杂志,2018,37(22):3058-3061.DOI:10.3760/cma.j.issn.1673-4351.2018.22.010.