Objective To discuss the effects of predictive nursing in transfer flap transplantation combined with vacuum sealing drainage (VSD) for treatment of traumatic foot skin defect. Methods Thirty-six patients were paired into two groups according to gender, age, injury location and area, surgical methods and nursing measures:group 1 (18 cases, received predictive nursing) and group 2 (18 cases, received routine nursing). The flap survival rates, aver-age length of hospital stay, nursing satisfaction degree were compared between the two groups. Results The flap sur-vival rate was 100%in the group 1 and 88.9%in the group 2, showing no statistically significant difference (P>0.05). Compared with the group 2, the average length of hospital stay in group 1 was decreased [(27.3±5.4) d vs (31.5±8.2) d], and the nursing satisfaction degree score in group 1 was increased [(4.6 ± 0.6) vs (3.8 ± 1.2)], with statistically signifi-cant difference (P<0.05). Conclusion For the patients of traumatic foot skin defect treated with transfer flap trans-plantation combined with VSD, predictive nursing can reduce the length of hospital stay and improve the nursing satis-faction degree, which is worthy of clinical promotion.%目的：探讨预见性护理在VSD引流配合转移性皮瓣修复足部外伤性皮肤缺损中的效果。方法回顾性分析36例患者的临床资料，依据患者的性别、年龄、损伤部位与面积、手术方式及护理措施进行匹配分组，常规护理组及预见性护理组各18例，比较两组患者在皮瓣成活率、平均住院时间、护理满意度方面的差别。结果预见性护理组18例患者皮瓣移植均一次性成功(皮瓣成活率为100%)，常规护理组18例患者中2例发生部分皮瓣坏死(皮瓣成活率为88.9%)，二者的皮瓣存活率比较差异无统计学意义(P>0.05)；预见性护理组患者平均住院时间[(27.3±5.4) d]低于常规护理组[(31.5±8.2) d]，差异有统计学意义(P<0.05)；预见性护理组患者满意度评分[(4.6±0.6)分]高于常规护理组[(3.8±1.2)分]，差异有统计学意义(P<0.05)。结论预见性护理能缩短VSD引流配合转移性皮瓣修复足部外伤性皮肤缺损患者的住院时间，提高其护理满意度，值得临床推广。
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