李凤仪?蓝桂彬?易玲

[摘要] 目的 探讨人文关怀护理在手外科断指再植患者手术中的应用。 方法 选取我院2016年1月～2017年1月共36例断指再植患者作为研究对象，随机分为观察组和对照组，每组各18例。对照组采用常规护理，观察组采用人文关怀护理，比较两组患者的护理效果。 结果 观察组患者存活率、满意度高于对照组患者，差异有统计学意义（P<0.05）。 结论 人文关怀护理在手外科断指再植患者手术中具有良好的效果，能有效提高植体的存活率，改善植体功能，患者接受程度较高，治疗依从性好，值得在临床推广应用。

[关键词]人文关怀护理；手外科；断指再植；应用

[中图分类号] R47 [文献标识码] A [文章编号] 2095-0616（2017）14-133-03

Discussion of the application of humanistic nursing care in the operation of replantation of amputated finger of hand surgery

LI Fengyi LAN Guibin YI Ling

Dongguan Shipai hospital of Dongguan City，Dongguan 523330，China

[Abstract] Objective To investigate the application of humanistic nursing care in patients undergoing replantation of amputated fingers. Methods 36 cases with replantation of amputated fingers from January 2016 to January 2017 in our hospital were selected as the research objects，and by randomly allocation principle，were divided into the observation group and the control group with 18 cases in each group.The control group received routine nursing care，and the observation group received humanistic nursing.The nursing effects were compared between two groups. Results The survival rate and the nursing satisfaction of the observation group were higher than those of the control group， and the difference was significant（P<0.05）. Conclusion Humanistic nursing has a good effect for patients with replantation of amputated finger，can effectively improve the survival rate of implant，and improve implant function，with high patient acceptance，good treatment compliance，worthy of clinical application.

[Key words] Humanistic care；Hand surgery；Replantation of amputated finger；Application

断指再植手术是利用显微外科技术，将完全或不完全离断的指体进行彻底清创，血管重新吻合，修复骨、神经、肌腱以及皮肤，从而最大程度上恢复指体功能的手术[1-3]。随着医学技术的发展，显微外科技术在临床应用不断成熟，断指再植的存活率也明显上升[4]。有调查报告显示，目前断指再植手术的存活率约为73.5%～97%[5]。虽然存活率较高，但指体的功能恢复却普遍欠佳。本次研究采用人文关怀护理对断指手术患者进行术中护理，取得了良好的效果。具体报道如下。

1 资料与方法

1.1 一般资料

选取我院2016年1月～2017年1月共36例断指再植患者作为研究对象，以随机分配为原则，分为观察组和对照组各18例。观察组中男15例，女3例，年龄17～62岁，平均（38.5±4.6）岁；对照组中男15例，女3例，年龄18～63岁，平均（36.7±4.1）岁。所有患者均对研究情况知情，签署知情同意书。两组患者在性别、年龄等一般资料方面比较，差异无统计学意义（P>0.05），具有可比性。

1.2 方法

对照组采用常规护理，观察组术中对患者进行人文关怀护理，具体内容如下：