[摘 要]目的 探究精细化伤口换药护理对伤口愈合美观性影响及满意度的影响。方法 选取2023年1月-12月海军特色医学中心外科伤口换药患者70例作为研究对象，随机分为对照组和观察组，各35例。对照组予以常规护理，观察组予以精细化伤口换药护理，比较两组创面愈合情况、疼痛及焦虑评分、瘢痕美观度评分、并发症发生率、护理满意度。结果 观察组创面清洁、创面愈合时间短于对照组(P<0.05)；观察组护理后疼痛、焦虑评分低于对照组(P<0.05)；观察组瘢痕美观度评分低于对照组(P<0.05)；观察组并发症发生率(11.43%)低于对照组(34.29%)(P<0.05)；观察组护理满意度(97.14%)高于对照组(80.00%)(P<0.05)。结论 对伤口换药患者采用精细化伤口换药护理，有助于减轻患者疼痛程度、负性情绪，提升瘢痕美观度，减少创面愈合时间及感染等并发症的发生率，值得临床应用。

    [关键词] 创面护理；换药护理；愈合情况

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)18-0191-04

    Effect of Refined Wound Dressing Nursing on Wound Healing Aesthetics and Satisfaction

    LI Li1， ZHOU Liyun2， SUN Jianliang3， QIU Chunxiu4

    (Outpatient Department1， Department of Disease Prevention and Control2， Department of Emergency3， Department of Stomatology4， Navy Medical Center， Shanghai 200433， China)

    [Abstract]Objective To explore the effect of refined wound dressing nursing on the wound healing aesthetics and satisfaction. Methods From January to December 2023， 70 patients with surgical bd6be8249f6f9e9bd94f1cb72ebdd0e2514687eb24e2c4de19fd67372a6bf51bwound dressing change in the Navy Medical Center were selected as the research objects ......