摘要
目的 探讨精细化护理干预对断指再植术后血管危象的预防效果。方法 选取2023年1月至2024年12月我院收治的100例断指再植患者，随机分为对照组（n=50）和干预组（n=50）。对照组采用常规护理，干预组实施精细化护理干预。比较两组血管危象发生率、护理满意度及疼痛评分。结果 干预组血管危象发生率显著低于对照组（P<0.05），护理满意度更高（P<0.05），疼痛评分更低（P<0.05）。结论 精细化护理干预通过系统性、个性化的护理措施，可有效降低断指再植术后血管危象发生率，提升护理质量，值得临床推广应用。
关键词： 精细化护理干预；断指再植；血管危象；护理满意度
Abstract
Objective To explore the preventive effect of refined nursing intervention on vascular crisis after reimplantation of severed fingers. Methods 100 cases of patients with reimplantation of severed fingers admitted to our hospital from January 2023 to December 2024 were selected and randomly divided into the control group (n=50) and the intervention group (n=50). The control group used conventional nursing care, and the intervention group implemented refined nursing intervention. The incidence of vascular crisis, nursing satisfaction and pain score were compared between the two groups. Results The incidence of vascular crisis in the intervention group was significantly lower than that in the control group (P<0.05), nursing satisfaction was higher (P<0.05), and pain score was lower (P<0.05). Conclusion Refined nursing intervention can effectively reduce the incidence of vascular crisis and improve the quality of nursing care after reimplantation of severed fingers through systematic and personalized nursing measures, which is worth promoting and applying in clinical practice.
Key words： Refined nursing intervention; Severed finger reimplantation; Vascular crisis; Nursing satisfaction
参考文献 References
[1] Jing Zhang,Xiaoli Xing,Shiyu Bao,Bu Xu,Tao Wei,Yan Bao,Xiangxia Rong,Bin Li.Effect of meticulous nursing combined with humanistic care on disease perceived stress and self-management efficacy in patients with pulmonary infection: A randomized controlled trial.[J].Geriatric nursing (New York, N.Y.),2025,64103401.
[2] 张奕华,蔡志娟,孔得宇,贾妍,高婷婷,李彩红,彭亚静.基于HACCP的护理干预对断指再植患者术后血管危象的预防效果分析[J].河北医药,2025,47(06):1037-1039 +1043.
[3] 陈曦,陈明.门诊护理工作中实施精细化护理的效果[J].中国城乡企业卫生,2025,40(06):110-112.
[4] 于晋辉,张士伟,马天宇.超级显微外科手术对断指再植后血管危象的影响[J].血管与腔内血管外科杂志,2025, 11(05):706-710.
[5] 何生,林云中,廖肇山,钟伟建.通过指末梢血糖值判断断指再植术后再植指体发生血管危象的临床观察[J].基层医学论坛,2025,29(13):93-96.
[6] 尉炜,卫建华,翁峰霞,张萍,桑明.口腔癌皮瓣移植术后患者的ICU精细化护理策略[J].护理与康复,2025,24(04): 84-87.
[7] 王亚萍,宋会杰,邹红丽.风险预见性护理对断指再植术患者术后疼痛、断指成活率、血管危象、指关节功能的影响[J].黑龙江医药科学,2025,48(03):86-89.
[8] 臧玮娜,刘育杰,龙黎,姜凯.断指再植患者围手术期血管危象危险因素分析[J].血管与腔内血管外科杂志,2025, 11(01):46-49+71.
[9] Chao Chen,Jing Chen,Wen Chih Liu,Krystle R Tuaño.Overview and management of complications after digital replantations.[J].The Journal of hand surgery, European volume,2024,49(2):167-176.
[10] 蒋春燕,何玉珍,谢文婷.断指再植术后患者的精细化护理[J].当代护士(上旬刊),2019,26(02):72-74.