CAJ | 학술논문

目的探讨完整的腹部带蒂皮瓣修复手部深度烧伤围手术期护理程序.方法对48例采用腹部带蒂皮瓣手术修复手部深度烧伤的患者进行全方位的护理进行总结,包括术前疾病评估、配合清创换药、心理护理、体位和皮肤准备,感染控制,术后疼痛护理、皮瓣观察、体位护理、并发症防治、功能锻炼、康复指导等.结果 48例患者腹部皮瓣移植成活,供瓣区受瓣区均生长良好.出院后3～6个月追踪,除3例术前神经血管指骨产重毁损功能丧失外,其余病例手部日常功能恢复良好.结论采用全方位多学科护理知识科学护理是腹部带蒂皮瓣修复手部深度烧伤患者的有力保障,以确保手术成功、肢体功能恢复、生活质量提高、社会生存能力增强.
목적 탐토완정적복부대체피판수복수부심도소상위수술기호리정서.방법 대48례채용복부대체피판수술수복수부심도소상적환자진행전방위적호리진행총결,포괄술전질병평고、배합청창환약、심리호리、체위화피부준비,감염공제,술후동통호리、피판관찰、체위호리、병발증방치、공능단련、강복지도등.결과 48례환자복부피판이식성활,공판구수판구균생장량호.출원후3～6개월추종,제3례술전신경혈관지골산중훼손공능상실외,기여병례수부일상공능회복량호.결론 채용전방위다학과호리지식과학호리시복부대체피판수복수부심도소상환자적유력보장,이학보수술성공、지체공능회복、생활질량제고、사회생존능력증강.
Objective To explore to build up a complete set of care program for patients underwent abdominal pedicled skin flaps for repairing deep burn in hands. Methods Onmidirecional nursing including preoperative assessment, cooperation with debridement and dressing change, mental nursing, body position and skin provision, infection control, postoperative pain nursing, observation of flap circulation, position nursing, prevention of complications, functional exercise, rehabilitation instruction were used in the reconstruction of shallow defects in 48 patients underwent abdominal pedicled skin flaps for repairing deep burn in hands. Then the nursing was summarized. Results The abdominal flap transplantation successod in all of the 48 cases. The donor site of flap and the receptor site of flap glowed weLl. The mean postoperative follow-up period was 3～6 months, and the satisfactory improvement in hand function was obtained in all patients except for 3 cases suffered from postoperative sever injury and loss of function of neurovascular phalange. Conclusions Omnidirectional nursing can ensure the success of operation, the recovery of limb function, the improvement of life quality and the enhancement of living ability for patients underwent abdominal pedicled skin flaps for repairing deep burn in hands.