Effects of postoperative rehabilitation nursing on recovery and quality of life in deep degree Ⅱ lower limb burns patients after dermatoplasty

Xijuan LIU; Jie CHEN; Yinghao MA; Hong ZHU; Rui LANG; Xiaodong WANG

doi:10.16016/j.2097-0927.202303077

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Effects of postoperative rehabilitation nursing on recovery and quality of life in deep degree Ⅱ lower limb burns patients after dermatoplasty

Clinical Medicine | 更新时间：2026-01-09

- Effects of postoperative rehabilitation nursing on recovery and quality of life in deep degree Ⅱ lower limb burns patients after dermatoplasty
- Journal of Army Medical University Vol. 45, Issue 8, Pages: 854-860(2023)
- 作者机构：
  
  1.100088 北京，中国人民解放军火箭军特色医学中心：质量管理科
  2.100088 北京，中国人民解放军火箭军特色医学中心：烧伤整形科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.2097-0927.202303077
  CLC： R493; R473.3; R644
- Received：02 March 2023，
  
  Revised：2023-04-09，
  
  Published：30 April 2023
- 稿件说明：
移动端阅览
Xijuan LIU, Jie CHEN, Yinghao MA, et al. Effects of postoperative rehabilitation nursing on recovery and quality of life in deep degree Ⅱ lower limb burns patients after dermatoplasty[J]. Journal of Army Medical University, 2023, 45(8): 854-860.
DOI：

Xijuan LIU, Jie CHEN, Yinghao MA, et al. Effects of postoperative rehabilitation nursing on recovery and quality of life in deep degree Ⅱ lower limb burns patients after dermatoplasty[J]. Journal of Army Medical University, 2023, 45(8): 854-860. DOI： 10.16016/j.2097-0927.202303077.

摘要

目的

探究深Ⅱ度下肢烧伤患者接受植皮修复术后康复护理对患者创面恢复及生活质量的影响。

方法

选择火箭军特色医学中心烧伤整形科2020年1月至2023年1月首诊为深Ⅱ度下肢烧伤并均给予植皮修复手术治疗的患者68例，采用数字表法随机分为干预组和对照组(

=34)。对照组患者给予常规术后护理，干预组接受常规护理基础上术后康复护理。护理4周后，评估护理后各组患者创面愈合时间和术后并发症发生率，采用疼痛视觉模拟评分(visual analogue scale，VAS)评估患者疼痛程度，护理前后采用焦虑自评量表(self-rating anxiety scale

SAS)和抑郁自评量表(self-rating depression scale

SDS)评估患者负性情绪，采用简式FMA(Fugl-Meyer assessment)评分法评估患者术后下肢运动功能恢复情况，采用QOL(quality of life score)问卷调查表评估术后生活质量改善。

结果

接受康复护理4周后，干预组的创面愈合时间(9.25±5.32)d较对照组均显著缩短(

愈合

=2.059，

0.05)，且术后不良并发症发生率(5.88%)显著降低(

=4.221，

0.05)。患者在接受护理后，负性情绪评估SAS评分、SDS评分均显著低于护理前(

0.05)，以接受干预组患者评分降低显著(

0.001)。两组患者4周后的VAS评分、FMA评分、QOL问卷调查评分均较护理前明显升高(

对照

分别为-6.769、-7.099、-3.026，

干预

分别为-7.077、-7.111、-6.108，

0.05)，且干预组接受康复护理后的疼痛改善、下肢运动功能和生活质量提升均较对照组评分明显升高(

护理后

分别为-3.116、-5.958、-4.079，

0.05)。

结论

术后康复护理能促进深Ⅱ度下肢烧伤患者创面愈合，明显降低术后并发症发生率，调节患者负性情绪，有利于下肢运动功能尽早恢复和术后生活质量的提升。

Abstract

Objective

To determine the impact of postoperative rehabilitation nursing on the recovery and quality of life in deep degree Ⅱ lower limb burn patients.

Methods

A randomized controlled clinical trial was conducted on 68 patients with deep burn admitted to our center between January 2020 and January 2023. The patients were allocated into control group (

=34

conventional postoperative nursing) and intervention group (

=34

conventional postoperative nursing combined with postoperative rehabilitation nursing). In 4 weeks after intervention

wound healing (time of wound healing and wound blood flow recovery) and incidence of postoperative complications were observed. Visual analog scale (VAS) was used to score the pain

and Anxiety Self-assessment Scale (SAS) and Depression Self-assessment Scale (SDS) were employed to assess the patients' negative emotions. Simple Fugl-Meyer assessment (FMA) was adopted to evaluate the lower limb motor function

and Quality of Life scale (QOL) was conducted for their quality of life.

Results

After 4 weeks of training

the intervention group obtained a significantly shorter time of wound healing (28.67±4.32 d

healing

=11.555

0.001) and lower incidence of postoperative complications (5.88%

Chi-square

=4.221

0.05

) when compared with the control group. The interventions obviously reduced the SAS score and SDS score of negative emotions than the baseline scores before training (

0.05)

with the decreases more statistically significant in the intervention group (

0.001). After 4 weeks of training

VAS score

FMA score

and QOL scores were all significantly improved compared with those before (

value= -6.769

-7.099

-3.026 in the control group

value=-7.077

-7.111

-6.108 in the intervention group

0.05). The improvement of pain

lower limb motor function and quality of life were greatly higher in the intervention group than the control group (

value=-3.116

-5.958

-4.079 after training

0.05).

Conclusion

Postoperative rehabilitation nursing can significantly promote the recovery of wound healing

reduce the postoperative complications

regulate patients' negative emotions

benefit lower limb motor function recovery earlier

and effectively improve the postoperative quality in the patients with deep Ⅱ lower limb burns.

关键词

Keywords

references

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