认知行为干预应用于游离皮瓣移植修复四肢软组织缺损围手术期中的护理效果评价(1)
摘 要：目的 探讨游离皮瓣植移修复四肢软组织缺损围手术中应用认知行为干预的效果。方法 选取2014年5月～2016年7月在我院接受治疗的90例四肢软组织缺损患者，入院均给予游离皮瓣移植手术，随机将其分为常规组和研究组，每组45例。常规组给予常规护理，研究组给予认知行为干预。对比两组患者的护理满意度和并发症发生率。结果 研究组护理满意度为93.33%，高于常规组的82.22%，差异有统计学意义(P<0.05)。常规组并发症发生率为17.78%，高于研究组的8.89%，差异有统计学意义(P<0.05)。结论 在游离皮瓣植移修复四肢软组织缺损围手术中应用认知行为干预，护理效果明显，值得临床推广应用。
关键词：认知行为干预；游离皮瓣移植；四肢软组织缺损
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.061
文章编号：1006-1959(2018)07-0173-02
, http://www.100md.com
Evaluation of Nursing Effect of Cognitive Behavior Intervention in the Perioperative Period of Free Flap Transplantation for the Repair of Soft Tissue Defects in Extremities
ZHANG Nan
(Department of Microsurgical，159 Central Hospital of the Chinese People's Liberation Army，Zhumadian 463000，Henan，China)
Abstract：Objective To investigate the effect of cognitive behavior intervention in the perioperative repair of soft tissue defects of extremities with free flap.Methods From May 2014 to July 2016，90 patients with soft tissue defects of extremities received free flap transplantation in our hospital.They were randomly divided into routine group and study group with 45 cases in each group.Routine nursing was given in the routine group and cognitive behavior intervention was given in the study group.Nursing satisfaction and complications were compared between the two groups.Results The nursing satisfaction of the study group was 93.33%，which was higher than that of the routine group 82.22%，and the difference was statistically significant(P<0.05).The incidence of complications in the routine group was 17.78%，which was higher than that of the study group 8.89%，and the difference was statistically significant(P< 0.05).Conclusion The effect of cognitive behavior intervention on the repair of soft tissue defect in extremities by free flap transplantation is significant，and it is worthy of clinical application.
, 百拇医药
Key words：Cognitive behavior intervention；Free flap transplantation；Soft tissue defect of extremities
游離皮瓣移植修复手术在临床中的应用广泛，逐渐成为四肢软组织缺损修复的常用方法[1]。游离皮瓣移植手术是通过将机体自身供血的皮下组织或是皮肤移植至受伤区域，是目前软组织受伤的最佳治疗方法。在围术期给予认知行为干预，可改善患者治疗依从性。选取2014年5月～2016年7月在我院接受治疗的90例四肢软组织缺损患者作为研究对象，探讨在游离皮瓣植移修复四肢软组织缺损围手术中应用认知行为干预的效果，现报道如下。
1资料与方法
1.1一般资料 选取2014年5月～2016年7月解放军一五九中心医院收治的四肢软组织缺损患者90例，本次研究通过医院伦理委员会的审核。纳入标准：患者均给予游离皮瓣移植修复手术；患者及家属同意配合研究。排除伴有沟通障碍、严重肝肾功能障碍患者。将患者随机分为常规组和研究组，每组45例。常规组男25例，女20例，年龄28～58岁，平均年龄(40.56±3.25)岁；软组织损伤部位：踝部14例，腕部5例，手部16例，小腿10例；手术原因：压伤砸伤患者16例，机器绞伤患者20例，碾压伤患者9例；损伤面积为1.4 cm×2.0 cm～11.0 cm×15.8 cm。研究组男24例，女21例，年龄25～60岁，平均年龄(41.20±3.51)岁；软组织的损伤部位：踝部13例，腕部6例，手部15例，小腿11例；手术原因：压伤砸伤患者15例，机器绞伤患者18例，碾压伤患者12例；损伤面积为1.4 cm×2.4 cm～11.0 cm×15.8 cm。两组患者在性别、年龄、手术原因等基本资料相比，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(张楠)
关键词：认知行为干预；游离皮瓣移植；四肢软组织缺损
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.061
文章编号：1006-1959(2018)07-0173-02
, http://www.100md.com
Evaluation of Nursing Effect of Cognitive Behavior Intervention in the Perioperative Period of Free Flap Transplantation for the Repair of Soft Tissue Defects in Extremities
ZHANG Nan
(Department of Microsurgical，159 Central Hospital of the Chinese People's Liberation Army，Zhumadian 463000，Henan，China)
Abstract：Objective To investigate the effect of cognitive behavior intervention in the perioperative repair of soft tissue defects of extremities with free flap.Methods From May 2014 to July 2016，90 patients with soft tissue defects of extremities received free flap transplantation in our hospital.They were randomly divided into routine group and study group with 45 cases in each group.Routine nursing was given in the routine group and cognitive behavior intervention was given in the study group.Nursing satisfaction and complications were compared between the two groups.Results The nursing satisfaction of the study group was 93.33%，which was higher than that of the routine group 82.22%，and the difference was statistically significant(P<0.05).The incidence of complications in the routine group was 17.78%，which was higher than that of the study group 8.89%，and the difference was statistically significant(P< 0.05).Conclusion The effect of cognitive behavior intervention on the repair of soft tissue defect in extremities by free flap transplantation is significant，and it is worthy of clinical application.
, 百拇医药
Key words：Cognitive behavior intervention；Free flap transplantation；Soft tissue defect of extremities
游離皮瓣移植修复手术在临床中的应用广泛，逐渐成为四肢软组织缺损修复的常用方法[1]。游离皮瓣移植手术是通过将机体自身供血的皮下组织或是皮肤移植至受伤区域，是目前软组织受伤的最佳治疗方法。在围术期给予认知行为干预，可改善患者治疗依从性。选取2014年5月～2016年7月在我院接受治疗的90例四肢软组织缺损患者作为研究对象，探讨在游离皮瓣植移修复四肢软组织缺损围手术中应用认知行为干预的效果，现报道如下。
1资料与方法
1.1一般资料 选取2014年5月～2016年7月解放军一五九中心医院收治的四肢软组织缺损患者90例，本次研究通过医院伦理委员会的审核。纳入标准：患者均给予游离皮瓣移植修复手术；患者及家属同意配合研究。排除伴有沟通障碍、严重肝肾功能障碍患者。将患者随机分为常规组和研究组，每组45例。常规组男25例，女20例，年龄28～58岁，平均年龄(40.56±3.25)岁；软组织损伤部位：踝部14例，腕部5例，手部16例，小腿10例；手术原因：压伤砸伤患者16例，机器绞伤患者20例，碾压伤患者9例；损伤面积为1.4 cm×2.0 cm～11.0 cm×15.8 cm。研究组男24例，女21例，年龄25～60岁，平均年龄(41.20±3.51)岁；软组织的损伤部位：踝部13例，腕部6例，手部15例，小腿11例；手术原因：压伤砸伤患者15例，机器绞伤患者18例，碾压伤患者12例；损伤面积为1.4 cm×2.4 cm～11.0 cm×15.8 cm。两组患者在性别、年龄、手术原因等基本资料相比，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(张楠)