Effect of comprehensive nursing intervention on patients with burn plastic acellular allogenic dermis transplantation
综合护理干预在烧伤整形脱细胞异体真皮移植患者中的效果

摘要

目的 探讨综合护理干预在烧伤整形脱细胞异体真皮移植患者中的干预效果。方法 现随机选取2021年9月-2022年9月期间就诊于我院烧伤科的患者作为本次研究对象，共计入组66例，所有患者治疗方案均为脱细胞异体真皮移植，按照随机数字法将其分为观察组（33例）和对照组（33例），对照组患者按照烧伤科标准护理方案进行干预，观察组则采取综合护理干预方案，对两组患者的护理效果进行对比和分析。结果 观察组患者的皮片成活率与对照组相比较高（P＜0.05），观察组患者瘢痕重度增生发生率低于对照组（P＜0.05），观察组患者瘢痕评分各个维度（柔韧度、皮肤色泽、厚度和血管分布）评分均低于对照组，组间数据差异有统计学意义（P＜0.05）。结论 在烧伤整形脱细胞异体真皮移植患者中应用综合护理可有效提高皮片成活率，减轻瘢痕增生程度，促进瘢痕的康复，临床应用效果较好，值得应用和推广。

Abstract

Objective To explore the effect of comprehensive nursing intervention in patients with burn plastic acellular allogenic dermis transplantation.
Methods The patients who visited the burns department of our hospital from September 2021 to September 2022 were randomly selected as the subjects of this study. A total of 66 patients were included in the group. All patients were treated with acellular allogenic dermis transplantation. They were divided into the observation group (33 cases) and the control group (33 cases) according to the random number method. The patients in the control group were treated according to the standard nursing plan of the burns department, while the patients in the observation group were treated with comprehensive nursing intervention plan. The nursing effects of the two groups of patients were compared and analyzed.
Results The survival rate of skin grafts in the observation group was higher than that in the control group (P < 0.05), and the incidence of severe scar hyperplasia in the observation group was lower than that in the control group (P < 0.05). The scar scores of all dimensions (flexibility, skin color, thickness and vascular distribution) in the observation group were lower than those in the control group, and there was significant difference between the two groups (P < 0.05).
Conclusion   The application of comprehensive nursing in the patients with burn plastic acellular allogenic dermis transplantation can effectively improve the survival rate of skin graft, reduce the degree of scar hyperplasia, and promote the recovery of scar. The clinical application effect is good, and is worthy of application and promotion.