Predictive nursing prevention strategies for vascular crisis after free flap finger wound repair
游离皮瓣手指创面修复术后血管危象的预见性护理防控策略

摘要

目的 探讨对临床罹行游离皮瓣手指创面修复术后患者，采取预见性护理防控策略，研究其对预防血管危象等的影响。方法 选于2023年6月-2024年6月作为观察时间区域，在本院就诊的80例罹行游离皮瓣手指创面修复术后患者作为观测人群，随机数字表法划定2小组，即：对照组、观察组，各自40例，对照组内含患者实施惯例护理干预，观察组在内患者予以预见性护理防控策略。结果 经按不同干预方式展开后，观察组内含患者的皮瓣体征（包含温度、颜色、质地、毛细血管充盈度）评分数值均更低显示（P<0.05）。分组间的血管危象发生率、皮瓣存活率类比，得出观察组血管危象发生率更低，皮瓣存活率更高（P<0.05）。结论 对临床罹行游离皮瓣手指创面修复术后患者，采取预见性护理防控策略，可助益于改善皮瓣体征状况，降低血管危象发生率，提高皮瓣存活率。

Abstract

Objective To explore the impact of predictive nursing prevention strategies on the prevention of vascular crisis in patients undergoing free flap finger wound repair.
Methods Eighty patients who underwent free flap finger wound repair at our hospital from June 2023 to June 2024 were selected as the observation population. They were randomly divided into two groups: a control group and an observation group, with 40 patients in each group. Patients in the control group received routine nursing interventions, while patients in the observation group received predictive nursing prevention strategies.
Results After different intervention methods were implemented, the scores of flap signs (including temperature, color, texture, and capillary filling) in the observation group were significantly lower (P<0.05). A comparison of the incidence of vascular crisis and flap survival rate between the groups showed that the observation group had a lower incidence of vascular crisis and a higher flap survival rate (P<0.05).
Conclusion   For patients undergoing free flap finger wound repair, proactive nursing care strategies can help improve flap condition, reduce the incidence of vascular crisis, and increase flap survival rate.