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激励性护理干预对负压封闭引流术后烧伤患者康复的影响。

Influence of incentive nursing intervention on recovery of burn patients after vacuum sealing drainage.

机构信息

Department of Burn and Plastic Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Int Wound J. 2021 Dec;18(6):787-795. doi: 10.1111/iwj.13582. Epub 2021 Mar 18.

Abstract

To observe the effect of application of incentive nursing intervention (INI) on recovery in burn patients undergoing vacuum sealing drainage (VSD). From January 2017 to January 2020, a total of 82 consecutive burn patients were prospectively enrolled, and divided into INI group and routine nursing intervention (RNI) group according to random number table method. The causes of inadequate drainage were collected, the incidence was calculated, and the occurrence of inadequate drainage at different locations was compared. The pain degree and comfort status before and after the intervention were observed, and the wound healing time, hospital stay, and satisfaction after the intervention were recorded. The reasons for inadequate drainage during the treatment of VSD included negative pressure insufficient, drainage tube blockage because of escharosis, replacement of negative pressure internal sac not standard, loose sealing of the semi-permeable membrane, and the negative pressure tube fell off, compressed or reflexed. The baseline characteristics between the two groups were comparable (P > .05). The incidence of each cause and total incidence of inadequate drainage in INI group were lower than those in RNI group (P < .05, respectively). The incidences of inadequate drainage of all burn sites in INI group were lower than those in RNI group, and the difference of limbs wound between the two group was statistically significant (P < .05). After intervention, the pain intensity of INI group was lower than that of RNI group (P < .05), and the holistic comfort of INI group was higher than that of RNI group (P < .05). The wound healing time and hospital stay time in INI group were lower than those in RNI group, and the total satisfaction rate in INI group was higher than that in RNI group (P < .05, respectively). Applying INI can effectively reduce the incidence of insufficient drainage, reduce pain, improve comfort, shorten wound healing time and hospital stay, and thus improve the overall satisfaction rate of patients, which is worthy of clinical promotion and application.

摘要

观察激励护理干预(INI)对接受负压封闭引流(VSD)的烧伤患者康复的影响。2017 年 1 月至 2020 年 1 月,前瞻性纳入 82 例连续烧伤患者,按随机数字表法分为激励护理干预(INI)组和常规护理干预(RNI)组。收集引流不足的原因,计算发生率,并比较不同部位引流不足的发生情况。观察干预前后的疼痛程度和舒适度,并记录干预后的伤口愈合时间、住院时间和满意度。VSD 治疗过程中引流不足的原因包括负压不足、因焦痂形成导致引流管堵塞、负压内囊更换不规范、半透膜密封不严、负压管脱落、受压或反射。两组基线特征具有可比性(P>.05)。INI 组各原因和总引流不足发生率均低于 RNI 组(P<.05)。INI 组所有烧伤部位的引流不足发生率均低于 RNI 组,两组肢体伤口差异有统计学意义(P<.05)。干预后,INI 组疼痛强度低于 RNI 组(P<.05),整体舒适度高于 RNI 组(P<.05)。INI 组的伤口愈合时间和住院时间均短于 RNI 组,总满意度高于 RNI 组(P<.05)。应用 INI 可有效降低引流不足的发生率,减轻疼痛,提高舒适度,缩短伤口愈合时间和住院时间,从而提高患者的总体满意度,值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a836/8613383/db7a3a1b362b/IWJ-18-787-g001.jpg

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