CAJ | 학술논문

目的探讨穿支皮瓣术后患者床旁护理记录单的使用效果。方法将穿支皮瓣床旁护理记录单应用于108例穿支皮瓣术后患者，观察使用记录单的书写质量、书写时间及患者、医生的满意度。结果术后发现动脉危象4例，静脉危象8例，皮瓣感染2例，经及时对症治疗后皮瓣均存活；记录单书写合格率为97.22%，护士单次书写时间由（4.70±0.62）min缩短到1.51 min（P﹤0.01），患者对护理服务满意度为98.56%，医生满意度为96.37%。结论床旁护理记录单记录方法科学，不仅能客观、及时地反映皮瓣的动态信息，还能提高护士的工作效率。
목적탐토천지피판술후환자상방호리기록단적사용효과。방법장천지피판상방호리기록단응용우108례천지피판술후환자，관찰사용기록단적서사질량、서사시간급환자、의생적만의도。결과술후발현동맥위상4례，정맥위상8례，피판감염2례，경급시대증치료후피판균존활；기록단서사합격솔위97.22%，호사단차서사시간유（4.70±0.62）min축단도1.51 min（P﹤0.01），환자대호리복무만의도위98.56%，의생만의도위96.37%。결론상방호리기록단기록방법과학，불부능객관、급시지반영피판적동태신식，환능제고호사적공작효솔。
Objective To investigate the effects of using perforator flap nursing records. Methods Nursing records for perforator flap was designed and applied to 108 cases perforator flap surgery patients. Results Four cases had arterial crisis,8 cases had venous crisis,2 cases of flap infection,all flaps were sur-vived by symptomatic treatment timely. The qualified rate of nursing records was 97. 22%. The writing time delrease from( 4. 70 ± 0. 62 ) min to 1. 51(P﹤0. 01),%patient satisfaction with care was 98. 56%,doctor satisfaction reached to 96. 37%. Conclusion The bedside nursing records is scientific, comprehensive and convenient. It is not only objective,timely reflect the information for the flap,but also can improve work efficiency of nurses.