Akarsu Kamile
Lokman Hekim University Vocational School of Health Services, Ankara, Turkey.
Int J Orthop Trauma Nurs. 2024 Feb;52:101039. doi: 10.1016/j.ijotn.2023.101039. Epub 2023 Jul 15.
Hand injuries are very complex and worrying in terms of hindering activities of daily living, functionality and self-care skills. Hand injuries are caused by traumatic events, resulting in a partial or complete loss. The focus of acute treatment is surgical replantation.
In this study, nursing care and nursing experiences of a patient who was replanted as a result of hand trauma were discussed in the light of the Roy Adaptation Model.
The male patient admitted to the emergency room due to traumatic amputation was a 49-year-old farmer. He lost his hand to an agricultural tool while working the land and was taken to the hospital within 4 h. He was taken up for emergency surgery for replantation. He has a history of diabetes mellitus. Nursing follow-up and interventions were applied by evaluating the data according to four adaptation modes (physiological needs, self-concept, role function and interdependence) within the scope of the Roy Adaptation Model.
and Suggestions: Patients experience difficulties (loss of function, financial problems, loss of role, psychological traumas) due to disability after injury. Therefore, nurses should know the underlying physiological risks, complications, and interventions to recognize and respond to situations that cause the loss of the reattached limb. Nursing models can identify patients' needs and problems, prevent complications, provide quality care, and manage the process. This study discussed the postoperative nursing care of a patient based on Roy's Adaptation Model.
手部损伤非常复杂，在阻碍日常生活活动、功能和自我护理技能方面令人担忧。手部损伤由创伤性事件引起，会导致部分或完全丧失功能。急性治疗的重点是手术再植。
本研究根据罗伊适应模式探讨了一名因手部创伤接受再植手术患者的护理及护理经验。
因创伤性截肢入住急诊室的男性患者是一名49岁的农民。他在耕地时手部被农具切断，并在4小时内被送往医院。他接受了急诊再植手术。他有糖尿病病史。在罗伊适应模式范围内，根据四种适应模式（生理需求、自我概念、角色功能和相互依赖）评估数据，实施护理随访和干预措施。
患者因受伤后的残疾而经历困难（功能丧失、经济问题、角色丧失、心理创伤）。因此，护士应了解潜在的生理风险、并发症及干预措施，以识别并应对导致再植肢体丧失的情况。护理模式可以识别患者的需求和问题，预防并发症，提供优质护理并管理整个过程。本研究基于罗伊适应模式探讨了一名患者的术后护理。
