Abstract:

Objective　To explore the intervention effect of Chinese medicine characteristic nursing care combined with multi-pathway special continuous management for patients taking amputated finger replantation. Methods　Sixty-four patients who underwent amputated finger replantation at Kaifeng People's Hospital from April 2021 to March 2023 were selected for the randomized controlled trial, and were divided into a combined group and a conventional group by the random number table method, with 32 cases in each group. There were 16 males and 16 females in the combined group; they were (40.58±1.15) years old. There were 18 males and 14 females in the conventional group; they were (40.63±1.18) years old. The conventional group took the traditional routine care. The combined group took the traditional Chinese medicine characteristic nursing care and multi-pathway special continuous management. The pain levels [Numerical Rating Scale (NRS)], functional recovery status of fingers, quality of life [Quality of Life Index (QOL)], and incidence rates of complications were compared between the two groups. t and χ² tests were used for the statistical analysis. Results　One, three, and six months after the surgery, the scores of NRS in the combined group were lower than those in the conventional group (3.87±0.24 vs. 4.76±0.31, 3.05±0.21 vs. 4.19±0.27, and 2.96±0.18 vs. 3.85±0.23; t=12.842, 18.853, and 17.238; all P<0.001). One, three, and six months after the surgery, the scores of functional recovery status of fingers in the combined group were higher than those in the conventional group (83.15±4.52 vs. 79.03±4.08, 91.15±3.18 vs. 87.47±2.92, and 96.51±1.26 vs. 90.62±1.21; t=3.828, 4.822, and 19.073; all P<0.001). After the nursing care, the scores of exercise, daily living, support, and general conditions in the combined group were higher than those in the conventional group (8.76±0.58 vs. 7.08±0.49, 8.62±0.55 vs. 6.94±0.43, 7.86±0.53 vs. 6.77±0.42, and 8.67±0.56 vs. 7.24±0.52; t=12.517, 13.613, 9.118, and 10.585; all P<0.001). The incidence rate of complications in the combined group was lower than that in the conventional group [9.38% (3/32) vs. 34.38% (11/32); χ²=5.851; P=0.016]. Conclusion　Traditional Chinese medicine characteristic nursing care combined with multi-pathway special continuous management for patients taking amputated finger replantation can alleviate their postoperative pain, accelerate their recovery of finger function, and improve their quality of life, and reduce the occurrence of complications.

Key words:

Amputated finger replantation, Chinese medicine characteristic nursing care, Multi-pathway special continuous management

摘要：

目的　探讨中医特色护理联合多途径专项延续管理对断指再植术患者的干预效果。方法　选取2021年4月至2023年3月在开封市人民医院进行断指再植术的患者64例进行随机对照试验。采用随机数字表法将其分为联合组和常规组，各32例。联合组男16例，女16例，年龄（40.58±1.15）岁。常规组男18例，女14例，年龄（40.63±1.18）岁。常规组采用传统常规护理，联合组采用中医特色护理联合多途径专项延续管理。比较两组疼痛程度［数字疼痛强度评定量表（Numerical Rating Scale，NRS）］、手指功能恢复状况、生活质量［生命质量评分表（Quality of Life Index，QOL）］、并发症发生率。采用t检验、χ²检验进行统计分析。结果　术后1个月、3个月、6个月，联合组NRS评分均低于常规组［（3.87±0.24）分比（4.76±0.31）分、（3.05±0.21）分比（4.19±0.27）分、（2.96±0.18）分比（3.85±0.23）分；t=12.842、18.853、17.238，均P<0.001］。术后1个月、3个月、6个月，联合组手指功能恢复状况评分均高于常规组［（83.15±4.52）分比（79.03±4.08）分、（91.15±3.18）分比（87.47±2.92）分、（96.51±1.26）分比（90.62±1.21）分；t=3.828、4.822、19.073，均P<0.001］。护理后，联合组运动、日常生活、支持、总体状况评分均高于常规组［（8.76±0.58）分比（7.08±0.49）分、（8.62±0.55）分比（6.94±0.43）分、（7.86±0.53）分比（6.77±0.42）分、（8.67±0.56）分比（7.24±0.52）分；t=12.517、13.613、9.118、10.585，均P<0.001］。联合组并发症发生率低于常规组［9.38%（3/32）比34.38%（11/32）；χ²=5.851，P=0.016］。结论　将中医特色护理联合多途径专项延续管理应用于断指再植术患者中能缓解其术后疼痛，加快其手指功能恢复，提高其生活质量，减少并发症的发生。

关键词:

断指再植术, 中医特色护理, 多途径专项延续管理