Objective To explore the effects of clinical nursing path implement in patients with VSD technology applications.Methods We selected 82 patients with hand-foot skin defect who were treated by VSD technology applications in 2011 as the control group,and they were given routine nursing care for postoperative.Then selected 90 patients with hand-foot skin defect who were treated by VSD technology applications in 2012 as the experimental group,they were implemented with clinical nursing pathway for postoperative.We observed and compared functional exercise adherence,health education awareness rate,satisfaction and average length of stay in patients of two groups after nursing care.Results The average length of stay (16.5 days)in experimental group was apparently less than that in control group (19.5 days); the functional exercise adherence was 97.7 ％in experimental group,apparently higher than that in control group (89％); the health education awareness rate 96.8 ％ was apparently higher than that in control group (87.5 ％); the satisfaction 99.1％ in experimental group was apparently higher than that in control group (90％),there was obviously statistical significant difference between both groups (P ＜ 0.05).Conclusion Carrying out clinical nursing pathway for the patients with handfoot skin defect who were treated by VSD technology applications could improve patients' satisfaction and health education awareness rate,improve work efficiency and quality of nursing care,furthermore,shorten hospital stays,reduce hospital costs,and promote functional recovery of limb for patients.%目的 探讨VSD技术应用患者实施临床护理路径的效果.方法 选取2011年手足皮肤缺损应用VSD技术的患者82例为对照组,术后采用常规护理,实验组为2012年手足皮肤缺损应用VSD技术的患者90例,术后实施临床护理路径,观察并比较两组患者在护理后的功能锻炼依从性,健康教育知晓率、满意度、平均住院时间.结果 实验组平均住院时间16.5天明显少于对照组19.5天；实验组功能锻炼的依从性为97.7％明显高于对照组的89％；实验组健康教育知晓率96.8％明显高于对照组的87.5％；实验组满意度99.1％明显高于对照组的90％,两组比较差异有统计学意义(P＜0.05).结论 对手足皮肤缺损应用VSD技术的患者实施临床护理路径,可提高患者的满意度和健康教育知晓率,提高护理工作效率和护理质量,并缩短住院时间,同时促进患者肢体的功能恢复.
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