基于罗伊适应模型的手再植术后护理:一例报告。

IF 1.5 Q3 NURSING
Kamile Akarsu
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引用次数: 0

摘要

背景:手部损伤在妨碍日常生活活动、功能和自我护理技能方面非常复杂和令人担忧。手部损伤是由创伤性事件引起的,导致部分或完全丧失。急性治疗的重点是手术再植。目的:本研究采用罗伊适应模型对一例因手外伤而再植的患者的护理和护理经验进行探讨。病例:因外伤性截肢而进入急诊室的男性患者是一名49岁的农民。他在耕地时被农具弄丢了一只手,4小时内被送往医院。他接受了紧急再植手术。他有糖尿病病史。在罗伊适应模型的范围内,根据四种适应模式(生理需求、自我概念、角色功能和相互依赖)对数据进行评估,采用护理随访和干预措施。结论:和建议:患者在受伤后因残疾而经历困难(功能丧失、经济问题、角色丧失、心理创伤)。因此,护士应该了解潜在的生理风险、并发症和干预措施,以识别和应对导致重接肢体丢失的情况。护理模式可以识别患者的需求和问题,预防并发症,提供优质护理,并管理整个过程。本研究以罗伊适应模型为基础,探讨一位病人的术后护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing care after hand replantation based on Roy's adaptation model: A case report

Background

Hand injuries are very complex and worrying in terms of hindering activities of daily living, functionality and self-care skills. Hand injuries are caused by traumatic events, resulting in a partial or complete loss. The focus of acute treatment is surgical replantation.

Aim

In this study, nursing care and nursing experiences of a patient who was replanted as a result of hand trauma were discussed in the light of the Roy Adaptation Model.

Case

The male patient admitted to the emergency room due to traumatic amputation was a 49-year-old farmer. He lost his hand to an agricultural tool while working the land and was taken to the hospital within 4 h. He was taken up for emergency surgery for replantation. He has a history of diabetes mellitus. Nursing follow-up and interventions were applied by evaluating the data according to four adaptation modes (physiological needs, self-concept, role function and interdependence) within the scope of the Roy Adaptation Model.

Conclusion

and Suggestions: Patients experience difficulties (loss of function, financial problems, loss of role, psychological traumas) due to disability after injury. Therefore, nurses should know the underlying physiological risks, complications, and interventions to recognize and respond to situations that cause the loss of the reattached limb. Nursing models can identify patients' needs and problems, prevent complications, provide quality care, and manage the process. This study discussed the postoperative nursing care of a patient based on Roy's Adaptation Model.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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