许静 蔡志雨 徐振雷

    [摘要]目的：探討Maslow理论指导下护理干预对手部烧伤后瘢痕整形患者自护能力及术后康复的影响。方法：选取2020年1月-2022年12月笔者医院收治的80例手部烧伤后瘢痕整形患者，据随机数表法分为观察组和对照组，各40例。对照组给予3个月常规护理干预，观察组给予3个月Maslow理论指导护理干预。比较两组患者手部功能恢复效果、日常生活活动能力、瘢痕[温哥华瘢痕量表(Vancouver scar scale，VSS)]、手部功能[密歇根手功能量表(Michigan hand outcomes questionnaire，MHQ)]、手指关节活动度及并发症发生情况。结果：干预3个月后，观察组手部功能总优良率高于对照组，VSS各评分均低于对照组，MHQ各评分均高于对照组，手指关节活动度高于对照组，差异均有统计学意义(P<0.05)。干预期间，两组患者并发症发生率比较，差异无统计学意义(P>0.05)。结论：Maslow理论指导下护理干预能加快患者手部瘢痕恢复，提高患者自护能力，改善手部功能和手指关节活动度，有较高的临床应用价值。

    [关键词]Maslow理论；护理干预；瘢痕整形；自护能力；术后康复

    [中图分类号]R473.6? ? [文献标志码]A? ? [文章编号]1008-6455(2024)05-0168-04

    Effect of Nursing Intervention Based on Maslow Theory on Self-care Ability and Postoperative Rehabilitation in Patients Undergoing Scar Plasty After Hand Burn

    XU Jing， CAI Zhiyu， XU Zhenlei

    ( Department of Burns and Plastic Surgery， Huai'an First People's Hospital， Huai'an 223300， Jiangsu， China )

    Abstract： Objective? To explore the effects of nursing intervention based on Maslow theory on self-care ability and postoperative rehabilitation in patients undergoing scar plasty after hand burn. Methods? A total of 80 patients with scar plastic surgery after hand burns admitted to our hospital from January 2020 to December 2022 were selected and divided into an observation group and a control group according to the random number table method ......