The value of extended nursing services for case management in patients undergoing hand burn scar plastic surgery
个案管理的延伸护理服务在手烧伤瘢痕整形术后患者中的价值

摘要

目的 探讨个案管理的延伸护理服务在手烧伤瘢痕整形术后患者护理中的应用价值。方法 取本院一年内（2023年1月-2023年12月）内60例手烧伤瘢痕整形术患者随机分为对照、研究两组，对照组为常规护理，研究组为个案管理的延伸护理服务。收集两组患者出院前、出院后1个月、2个月手指关节活动度（TAM值）、瘢痕修复（VSS评分）情况的相关数据并进行比较，以评估不同护理策略的应用效果。结果 两组出院前各指标对比P＞0.05；研究组出院后1个月、2个月TAM值、VSS评分均优于对照组，结果对比P＜0.05。结论 在手烧伤瘢痕整形术后患者护理中应用个案管理的延伸护理服务可获得理想护理效果，有助于促进患者手指关节功能与瘢痕恢复，患者对护理效果更加满意，值得推荐。

Abstract

Objective To explore the application value of extended nursing services of case management in the nursing of patients after hand burn scar plastic surgery.
Methods Sixty patients who underwent hand burn scar plastic surgery in our hospital within one year (2023.01-2023.12) were randomly divided into a control group and a study group. The control group received routine nursing care, while the study group received extended nursing services for individual case management. Collect relevant data on finger joint range of motion (TAM) and scar repair (VSS score) of two groups of patients before discharge, 1 month and 2 months after discharge, and compare them to evaluate the application effect of different nursing strategies.
Results The comparison of various indicators between the two groups before discharge was P>0.05; The TAM values and VSS scores of the research group were better than those of the control group at 1 and 2 months after discharge, with a comparison of P<0.05.
Conclusion   The application of case management extended nursing services in the care of patients after hand burn scar plastic surgery can achieve ideal nursing effects, help promote finger joint function and scar recovery, and make patients more satisfied with the nursing effect, which is worth recommending.