Research on the application value of evidence-based nursing in postoperative care of patients with severed finger replantation
循证护理在断指再植患者术后护理中的应用价值研究

摘要

目的 探讨断指再植患者术后实施循证护理的应用效果。方法 纳入2022年1月~2023年1月内我院收治的断指再植患者68例，按照患者术后使用的护理方式分为对照组（常规护理）和观察组（循证护理）各34例，对比两组护理效果。结果 观察组患者术后不同时间段（术后1d、3d和7d）疼痛评分均显著低于对照组，差异均有统计学意义（P＜0.05）。且观察组断指再植体功能评分（外形、感觉、肌力、遗留症状与关节活动度）均显著高于对照组，差异均有统计学意义（P＜0.05）。结论 临床对断指再植患者实施术后护理时使用循证护理干预能够显著降低患者术后疼痛，加快断指再植功能恢复，具有较高应用价值。

Abstract

Objective To explore the application effect of evidence-based nursing in patients with replantation of severed fingers after surgery.
Methods A total of 68 patients with severed finger replantation admitted to our hospital from January 2022 to January 2023 were included. They were divided into a control group (conventional nursing) and an observation group (evidence-based nursing) according to the postoperative nursing methods used by the patients. The nursing effects of the two groups were compared.
Results The pain scores of patients in the observation group were significantly lower than those in the control group at different postoperative time periods (1 day, 3 days, and 7 days), and the differences were statistically significant (P<0.05). The functional scores (appearance, sensation, muscle strength, residual symptoms, and joint range of motion) of the replanted finger in the observation group were significantly higher than those in the control group, and the differences were statistically significant (P<0.05).
Conclusion   The use of evidence-based nursing intervention in postoperative care for patients with finger replantation can significantly reduce postoperative pain and accelerate the recovery of finger replantation function, which has high application value.