综合康复护理对减少手臂部烧伤整形植皮患者并发症及促进患者手臂功能恢复影响研究

Study on the Effect of Comprehensive Rehabilitation Nursing on Reducing the Complications of Patients with Arm Burns and Plastic Skin Grafting and Promoting the Recovery of Patients’ Arm Function

摘要: 目的：探讨针对手臂部烧伤施以整形植皮治疗的患者重视综合康复护理方案的开展，对并发症的防控及对手臂功能恢复的促进作用。方法：选取手臂烧伤施以整形植皮治疗的患者100例，均为我院2019年1月至2020年1月收治，应用数字表抽取法随机分组，就采用常规康复护理方案(对照组，n = 50)与采用综合康复护理方案(观察组，n = 50)并发症率、疼痛评分、手臂功能评分展开对比。结果：观察组急性肾衰竭、应激性溃疡、创面渗血、创面脓毒症等并发症率经观测明显低于对照组，差异具有统计学意义(P < 0.05)。两组护理前，经对疼痛评分进行评测，差异无统计学意义(P > 0.05)，护理后，评测分值均有降低，且与对照组比较，观察组变化更为明显，差异具有统计学意义(P < 0.05)。两组开展护理前，手臂功能各维度即手功能、手活动能力评分经评测无差异(P > 0.05)，在护理后，各评测分值均有降低，且与对照组比较，观察组变化更为明显，差异具有统计学意义(P < 0.05)。结论：针对临床收治的手臂部烧伤施以整形植皮治疗的患者，重视开展综合康复护理，可对急性肾衰竭、应激性溃疡等并发症进行防范，降低疼痛程度，改善手臂功能，开展价值显著。 Objective: To investigate the importance of comprehensive rehabilitation nursing plan for patients undergoing orthopedic skin grafting treatment for arm burns, prevention and control of complications, and promotion of arm function recovery. Methods: A total of 100 patients who received plastic skin grafting treatment for arm burns were selected. They were all admitted to our hospital from January 2019 to January 2020. They were randomly divided into groups using the digital table extraction method, and the conventional rehabilitation care plan was adopted (control group, n = 50). The complication rate, pain score, and arm function score were compared with the comprehensive rehabilitation nursing program (observation group, n = 50). Results: The rate of complications such as acute renal failure, stress ulcer, wound oozing, and wound sepsis in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). The pain scores of the two groups were evaluated before nursing, and the difference was not statistically significant (P > 0.05). After nursing, the evaluation scores were reduced, and compared with the control group, the observation group had more obvious changes, and the difference was statistically significant (P < 0.05). Before the two groups started nursing, there was no difference in the scores of arm function, namely hand function and hand movement ability after evaluation (P > 0.05). After nursing, the evaluation scores were reduced, and compared with the control group, the observation group had more changes, the difference is statistically significant (P < 0.05). Conclusion: For the clinically admitted patients with arm burns undergoing plastic skin grafting treatment, comprehensive rehabilitation care should be emphasized, which can prevent acute renal failure, stress ulcers and other complications, reduce pain, improve arm function, and have significant development value.