Observation on the effect of accelerated rehabilitation surgical nursing for patients undergoing free flaptransplantation in plastic surgery
整形外科游离皮瓣移植术患者的加速康复外科护理效果观察

摘要

目的 观察整形外科游离皮瓣移植术患者的加速康复外科护理效果。方法 选取我院 2021.12-2022.12 收治的 88 例整形外科游离皮瓣移植术患者为研究对象，随机数字表法分观察组（44 例，加速康复外科护理）与 对照组（44 例，常规护理），比较 2 组手术应激程度、心理状态、满意度、并发症。结果 术后 1h、24h 皮质醇 水平对比，观察组均较对照组低（P＜0.05）。护理前焦虑、抑郁评分对比 2 组无差异（P＞0.05）；护理后观察 组均较对照组低（P＜0.05）。满意度观察组高于对照组（P＜0.05）。皮瓣血肿、伤口感染、皮瓣坏死发生率观 察组均低于对照组（P＜0.05）。结论 对整形外科游离皮瓣移植术患者实行加速康复外科护理，能改善手术应激 程度，调节其心理状态，提升满意度，减少并发症的发生，可应用。

Abstract

Objective To observe the effect of accelerated rehabilitation surgical nursing for patients undergoing free flap transplantation in plastic surgery. Method 88 patients with plastic surgery free flap transplantation admitted to our hospital from December 2021 to December 2022 were selected as the research subjects. They were randomly divided into an observation group (44 cases, accelerated rehabilitation surgical care) and a control group (44 cases, routine care) using a number table method. The surgical stress level, psychological state, satisfaction, and complications of the two groups were compared. Result The cortisol levels in the observation group were lower than those in the control group at 1 hour and 24 hours after surgery (P<0.05). There was no difference in the scores of anxiety and depression before nursing between the two groups (P>0.05); After nursing, the observation group was lower than the control group (P<0.05). The satisfaction of the observation group was higher than that of the control group (P<0.05). The incidence of flap hematoma, wound infection, and flap necrosis in the observation group was lower than that in the control group (P<0.05).
Conclusion   Implementing accelerated rehabilitation surgical care for patients undergoing free flap transplantation in plastic surgery can improve the degree of surgical stress, regulate their psychological state, increase satisfaction, and reduce the occurrence of complications. It can be applied.