Nursing and application effect of closed negative pressure drainage combined with external fixator in severe open fracture of limbs

Abstract

Objective To explore the nursing and application effect of closed negative pressure drainage combined with external fixator in severe open fracture of limbs. Methods A total of 270 cases of patients with severe open fractures of limbs were selected for external fixator fixation, and were divided into control group, treatment group and nursing group with 90 cases each according to the random number table method.The control group was given conventional dressing dressing combined with conventional nursing, the treatment group was given closed negative pressure drainage combined with conventional nursing, and the nursing group was given closed negative pressure drainage combined with targeted nursing.The efficacy, infection status, wound healing time, SDS and SAS scores and nursing satisfaction of the three groups were compared. Results There were statistically significant differences in efficacy, total effective rate, infection rate, wound healing time and satisfaction between the three groups (P 0.05). After intervention, all 3 groups were lower than before intervention, and the treatment group and nursing group were lower than the control group, nursing group was lower than the treatment group, the difference was statistically significant (P<0.05). Conclusions The curative effect of closed negative pressure drainage + external fixator is significant in the treatment of severe open fracture of limbs. Targeted nursing can further improve the curative effect, reduce infection rate, shorten wound healing time, improve depression and anxiety, and improve nursing satisfaction. Key words: Closed negative pressure drainage; External fixation; Limb open fracture; Anxiety; Depression