CAJ | 학술논문

目的：探讨负压封闭引流技术结合个性化心理护理干预对外科创面难愈患者的影响。方法选取126例难愈性创面患者为研究对象,根据其入院顺序分成个性化护理组(A组,n=66)和对照组(B组,n=60)两组,均在负压封闭引流治疗后予以相应护理干预措施。比对两组患者在植皮愈合时间、住院时间、NRS评分等创面恢复指标上的差异,分析其干预前后SAS评分及SDS评分等不良情绪改善情况,记录其创面出血、创面感染、半透膜下积液等并发症发生风险。结果①A组术后植皮愈合时间、总住院时间及疼痛评估结果均明显低于B组(P<0.05)；②A组不良情绪改善效果明显优于B组(P<0.05)；③两组术后并发症发生率对比无明显差异(P>0.05)。结论对难愈性创面患者予以负压封闭引流后个性化心理干预措施,可有效改善其不良情绪,提高治疗依从性,促进预后提升,值得临床推广。
목적：탐토부압봉폐인류기술결합개성화심리호리간예대외과창면난유환자적영향。방법선취126례난유성창면환자위연구대상,근거기입원순서분성개성화호리조(A조,n=66)화대조조(B조,n=60)량조,균재부압봉폐인류치료후여이상응호리간예조시。비대량조환자재식피유합시간、주원시간、NRS평분등창면회복지표상적차이,분석기간예전후SAS평분급SDS평분등불량정서개선정황,기록기창면출혈、창면감염、반투막하적액등병발증발생풍험。결과①A조술후식피유합시간、총주원시간급동통평고결과균명현저우B조(P<0.05)；②A조불량정서개선효과명현우우B조(P<0.05)；③량조술후병발증발생솔대비무명현차이(P>0.05)。결론대난유성창면환자여이부압봉폐인류후개성화심리간예조시,가유효개선기불량정서,제고치료의종성,촉진예후제승,치득림상추엄。
Objective To investigate the effect of vacuum sealing drainage combined with personalized psychological care intervention on surgical patients with refractory wound.Methods 126 cases with refractory wound were selected as the subjects and divided into the personalized nursing group (group A,n=66) and control group (group B,n=60) in accordance with the order of admission, and given the corresponding nursing respectively after vacuum sealing drainage.The skin graft healing time, length of stay, NRS score and other wound recovery indexes were compared between the two groups.The SAS and SDS scores before and after intervention and other bad mood improvement of the two groups were analyzed. And the incidence of wound bleeding, wound infection, semipermeable membrane effusion and other complications in the two groups were recorded.Results ①The postoperative skin graft healing time and hospitalization time were much shorter and pain assessment was significantly lower in group A than that in group B, respectively(<0.05);②The bad mood improvement in group A was obviously better than that in group B (<0.05); ③The incidence rate of postoperative complications between the two groups had no significant difference(>0.05).Conclusion For patients with refractory wound, vacuum sealing drainage combined with personalized psychological care intervention can effectively ameliorate the negative emotions, enhance the treatment compliance and improve the prognosis, so it is worthy of clinical promotion.