[摘 要]目的 探究在VSD修复创伤性骨折合并软组织缺损患者中应用基于预见性理念的前瞻性护理的效果及对患者皮肤美观度的影响。方法 选取2021年6月-2023年12月我院收治的60例VSD修复创伤性骨折合并软组织缺损患者为研究对象，随机分成对照组和研究组，各30例。对照组采用常规护理，研究组采用基于预见性理念的前瞻性护理，比较两组康复指标、皮肤美观度、满意度、并发症发生情况及依从性。结果 研究组创面缩小面积大于对照组，植皮愈合时间、二期植皮天数和瘢痕形成率优于对照组(P<0.05)；研究组护理后色泽、血液循环、柔软度、厚度评分均低于对照组(P<0.05)；研究组满意度为93.33%，高于对照组的73.33%(P<0.05)；研究组并发症发生率为3.33%，低于对照组的20.00%(P<0.05)；研究组依从性评分高于对照组(P<0.05)。结论 在VSD修复创伤性骨折合并软组织缺损患者中应用基于预见性理念的前瞻性护理的效果良好，可促进患者康复转归，提升其皮肤美观度，有利于降低术后并发症发生风险，提高患者的依从性和满意度。

    [关键词] 前瞻性护理；预见性理念；VSD；创伤性骨折；软组织缺损

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)24-0171-04

    Effect of Prospective Nursing Based on Predictive Concept on Skin Aesthetics of Patients with Traumatic Fracture Combined with Soft Tissue Defect Repaired by VSD

    LI Juke

    (Department of Joint and Sports Surgery， Hunan Provincial People’s Hospital/the First Affliated Hospital of Hunan Normal University， Changsha 410000， Hunan， China)

    [Abstract]Objective To explore the effect of prospective nursing based on predictive concept in patients with traumatic fracture combined with soft tissue defect repaired by VSD and its influence on patients’ skin aesthetics. Methods A total of 60 patients with traumatic fracture combined with soft tissue defect repaired by VSD admitted to our hospital from June 2021 to December 2023 were selected as the research subjects ......