Application of systematic nursing under stress system theory in patients with hand soft tissue defects undergoing pedicled skin flap transplantation and repair
Objective To explore the application of systematic nursing under stress system theory in patients with hand soft tissue defects undergoing pedicle skin flap transplantation and repair.Methods A total of 110 patients with hand soft tissue defects who were treated with pedicle skin flap transplantation and repair surgery in Yixing People's Hospital of Jiangsu Province from July 2019 to December 2022 were selected as study subjects.They were divided into control group and observation group,with 55 cases in each group.The control group received systematic nursing,while the observation group received systematic nursing based on stress system theory on the basis of control group.Both continued to intervene until the patient was discharged.The postoperative recovery(occurrence of skin flap survival,occurrence of vascular crisis,and hospitalization time)were compared between the two groups;stress response(stress response questionnaire[SRQ]score),post-traumatic growth level(post-traumatic growth inventory[PTGI]score)before and after nursing were compared between two groups.Results There were no significant differences in the survival rate of skin flap and incidence of vascular crisis between two groups(P＞0.05);the hospitalization time of observation group was shorter than that of control group(P＜0.05).After nursing,the SRQ scores of both groups were decreased than those before nursing,and that of observation group was decreased than that of control group(P＜0.05).After nursing,the PTGI scores were increased than those before nursing,and that of observation group was increased than that of control group(P＜0.05).Conclusion Systematic nursing under stress system theory can shorten hospitalization time,reduce the stress response,and improve the post-traumatic growth level of the patients with hand soft tissue defects undergoing pedicled skin flap transplantation and repair.
Hand soft tissue defectPedicled skin flap transplantationSystematic nursingStress system theory
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