摘要
目的 分析在对小腿到足踝外伤患者皮瓣移植术患者护理过程中开展渐进式护理对于患者皮瓣成果
率以及恢复期间生活质量等影响。方法 在 2022 年 3 月至 2023 年 5 月本院小腿到足踝外伤患者皮瓣移植术患者
中选择 76 例为对象，数字表随机排序划分对照组（38 例，治疗期间开展常规护理）和观察组（38 例，治疗期间
开展渐进式护理）。对比护理效果。结果 对比两组皮瓣成活率以及护理满意度，观察组均高于对照组，P<0.05。
对比两组恢复期间生活质量、心理状态，观察组生活质量评分高于对照组，心理状态评分低于对照组，P<0.05。
结论 在对小腿到足踝外伤患者皮瓣移植术患者护理过程中开展渐进式护理，可以提升皮瓣成活率，增加患者护
理满意度以及生活质量。
关键词： 渐进式护理；小腿到足踝外伤患者皮瓣移植术；皮瓣成活率
Abstract
Objective To analyze the impact of implementing progressive nursing care in the nursing process of
skin flap transplantation for patients with leg to ankle injuries on the success rate of skin flaps and the quality of life
during recovery. Methods From March 2022 to May 2023 in our hospital, 76 cases of patients with leg to foot ankle
trauma undergoing skin flap transplantation were selected as subjects, and the control group (38 cases, routine nursing
during treatment) and observation group (38 cases, progressive nursing during treatment) were randomly sorted in a
numerical table. The nursing effect was compared. Results Compared the survival rate of skin flap and nursing
satisfaction of the two groups, the observation group were higher than the control group, P<0.05. The quality of life and
psychological state of the two groups were compared during the recovery period. The quality of life score of the
observation group was higher than that of the control group, and the psychological state score was lower than that of the
control group, P<0.05. Conclusion Progressive nursing can improve the survival rate of skin flap and improve the
satisfaction of nursing and quality of life of patients with leg to foot and ankle injury
Key words： Progressive care; Skin flap transplantation for patients with leg to ankle injuries; Skin flap survivalrate
参考文献 References
[1] 景铎,耿景超,张远林等.活血化瘀通脉止痛方联合穴位刺激在手外伤皮瓣移植术中的应用价值[J].中国老年学杂志,2023,43（15）:3686-3689.
[2] 魏建宁,李文娟.基于 Orem 自护模式的护理干预结合暴露疗法对下肢损伤皮瓣移植术后患者创面修复及自护能力的影响[J].临床医学研究与实践,2023,8（22）:158-161.
[3] 刘芳,于秀荣.SBAR 沟通模式对手外伤皮瓣移植术后患者创伤后应激障碍及应对方式的影响[J].中外医学研究,2023,21（20）:99-103.DOI:10.14033/j.cnki.cfmr.2023.20.025.
[4] 腔癌同期皮瓣移植术患者出院准备服务方案的构建[J].护理学报,2023,30（13）:69-73.
[5] 郭欢,唐何怡.情绪引导联合吞咽功能训练对口腔癌皮瓣移植术后患者生活质量的影响[J].吉林医学,2023,44（03）:819-822.
[6] 覃欣荣.封闭式负压引流术联合游离植皮及皮瓣移植术治疗四肢难治性感染创面患者的临床效果[J].医疗装备,2022,35（24）:92-94.
[7] 李敏,黄素群,吴佳倩等.集束化护理在臀部压力性损伤皮瓣移植术患者围术期中的应用效果[J].当代护士（中旬刊）,2022,29（10）:40-44.
[8] 刘黎莉,成玲娜,曹燕河等.综合护理联合自制血运观察表单在手外伤皮瓣移植术后护理中的应用效果[J].微创医学,2022,17（04）:529-532.
[9] 徐志慧.加速康复外科护理理念对口腔癌行皮瓣移植术后患者营养状况和康复情况的影响[J].中国医药科学,2022,12（04）:115-118+145.
[10] 孙鹏.游离植皮、皮瓣移植联合负压封闭引流技术治疗慢性溃疡创面的效果探讨[J].中国现代药物应用,2021,15（20）:75-77.