Perioperatie nursing for abdominal pedicled skin flaps for repairing deep burn in hands

Abstract

Objective To explore to build up a complete set of care program for patients underwent abdominal pedicled skin flaps for repairing deep burn in hands. Methods Onmidirecional nursing including preoperative assessment, cooperation with debridement and dressing change, mental nursing, body position and skin provision, infection control, postoperative pain nursing, observation of flap circulation, position nursing, prevention of complications, functional exercise, rehabilitation instruction were used in the reconstruction of shallow defects in 48 patients underwent abdominal pedicled skin flaps for repairing deep burn in hands. Then the nursing was summarized. Results The abdominal flap transplantation successod in all of the 48 cases. The donor site of flap and the receptor site of flap glowed weLl. The mean postoperative follow-up period was 3～6 months, and the satisfactory improvement in hand function was obtained in all patients except for 3 cases suffered from postoperative sever injury and loss of function of neurovascular phalange. Conclusions Omnidirectional nursing can ensure the success of operation, the recovery of limb function, the improvement of life quality and the enhancement of living ability for patients underwent abdominal pedicled skin flaps for repairing deep burn in hands. Key words: Hand; Perioperative nursing; Abdominal pedicled skin flap; Deep burn