Nursing of a patient ungoing transplantation of free skin graft for skin defects of the left upper extremity (1例左上肢皮肤缺损行游离皮片移植术的护理)

Abstract

Objective To investigate the general situation of the cooperative relationship between nursing staff and caregivers of elderly hospitalized patients, and analyze the influencing factors of the cooperative relationship between them, so as to provide guidance and basis for further measures to promote effective cooperation between them. Methods A total of 230 caregivers of elderly patients from 5 Grade A hospitals in Beijing were selected by random sampling method from April 2022 to April 2023. The general situation questionnaire of patients and caregivers and the Family Collaboration Scale(FCS) after cross-cultural adjustment were used to investigate. Results The cooperation score between nurses and caregivers of elderly hospitalized patients was (91. 1+-10. 04), among which the educational level of caregivers and whether they lived with patients affected the cooperation level between caregivers and nurses (P< 0. 05). Conclusion The level of cooperation between nurses and caregivers of hospitalized elderly patients is above the medium level. Nursing staff should provide individualized guidance according to the cultural level of caregivers and whether they live with patients, and constantly improve their own level to identify the needs of caregivers in time, so as to provide a basis for improving the quality of nursing and meeting the needs of the elderly for daily extended care. (本文总结1例左上肢皮肤缺损行游离皮片移植术的护理经验。基于伤口评估三角制定干预方案, 采用游离皮片移植术联合封闭负压引流术(VSD)修复创面, 注意观察创面及周边情况, 根据TIME原则及湿性愈合理念, 适时调整敷料类型和换药频次, 促进游离皮片移植区伤口快速恢复。)

Keywords

• skin defects
• vacuum sealing drainage
• infection
• wound healing
• theory of time
• 皮损
• 封闭负压引流术
• 感染
• 创面愈合
• time原则