摘要目的 研究早期护理干预对预防足拇趾再造缺损指尖术后血管危象的影响.方法 将接受足拇趾再造缺损指尖术的患者纳入研究,随机分为给予早期护理干预的观察组和仅给予常规护理干预的对照组,观察血管危险发生情况、自我护理能力以及负面情绪.结果 血管危险发生率观察组动脉(2.22％)、静脉(2.22％)及动静脉(2.22％)、术后早期(2.22％)、术后晚期(2.22％)明显少于对照组;健康知识[(49.7±6.4)分]、自我概念[(21.8±3.2)分]、自护责任感[(19.4±2.3)分]、自我护理技能[(29.1±3.5)分]、自我护理能力总评分[(120.0±15.4)分]均明显高于对照组;HAMA[(12.8±1.8)分]、HAMD[(14.3±2.5)分]、SAS[(51.5±11.3)分]、SDS[(54.8±6.5)分]明显低于对照组.结论 早期护理干预有助于提高患者的自我护理能力、缓解负面情绪,并预防术后血管危象的发生,具有积极的临床价值.

abstractsObjective To study the effect of early nursing intervention on preventing vascular crisis in patients received hallux reconstruction of fingertip defect.Methods Patients treated with hallux reconstruction of fingertip defect were enrolled and randomly divided into observation group (given early nursing intervention) and control group (given conventional nursing intervention).Then vascular crisis,self-care ability and negative emotions were observed.Results The observation group arteries (2.22％),intravenous (2.22％) and arteriovenous (2.22％),early postoperative (2.22％),postoperative late (2.22％) of vascular risk were significantly less than those of the control group; health knowledge (49.7 ± 6.4),selfconcept (21.8 ± 3.2),self responsibility (19.4 ± 2.3),self-nursing skills (29.1 ± 3.5),self care ability score (120.0 ± 15.4) were significantly higher than those in control group; HAMA (12.8 ± 1.8),HAMD (14.3 ± 2.5),SAS (51.5 ± 11.3),SDS(54.8 ± 6.5) were significantly lower than those of control group.Conclusion Early nursing intervention has positive clinical value for it can improve self-care ability,and alleviate negative emotions and prevent vascular crisis.