Application of standardized nursing in patients with upper limb injury after skin flap transplantation

Abstract

Objective To investigate the effect of standardized nursing care on patients' prognosis after skin flap transplantation for upper limb injury. Methods Using the convenient sampling method, 80 patients with pedicled flap transplantation for upper limb injuries who were treated from January 2015 to May 2018 were selected as the research objects. They were divided into the control group and the experimental group according to the order of admission, with 40 cases in each. The control group used conventional nursing methods, and the experimental group performed normal surgical intervention on the basis of conventional nursing. The postoperative pain, survival rate of flaps, and length of hospital stay were compared between the two groups. Results After the intervention, 28 patients (70.0%) in the experimental group had mild pain, which was higher than 13 (32.5%) in the control group; 6 patients (15.0%) had moderate pain, which was lower than 10 (25.0%) in the control group; 6 were severe pain. The number of cases (15.0%) was lower than that in the control group (17.42.5%). The difference between the two groups was statistically significant (P<0.05). Thirtyeight patients (95.0%) survived with pedicled flaps in the experimental group after surgery, which was higher than the 36 patients (90%) in the control group, The difference between the two groups was statistically significant (P<0.05). The length of hospital stay in the test group was (21.6±1.8) days, which was lower than that in the control group (31.3±5.4) days. There was a statistically significant difference between the two groups (P<0.05). Conclusion Patients with skin flaps need standardized nursing measures, which can effectively improve the survival rate of the flaps, shorten the length of hospital stay, and greatly improve patient satisfaction. Key words: Upper limb injury; Transplantation; Skin flap; Nursing