慢性伤口标准化干预体系的建立及临床实践分析
Establishment of standardized intervention system for chronic wounds and its' clinical practice
摘要目的:建立慢性伤口标准化干预体系,并观察其临床实践应用效果。方法:采用便利抽样法,选取2019年1—12月解放军联勤保障部队第九八八医院伤口治疗中心1室收治的150例慢性伤口患者作为对照组,以及伤口治疗中心2室收治的145例慢性伤口患者作为观察组。对照组给予常规伤口干预,观察组给予标准化伤口干预。比较两组患者伤口情况、疼痛情况。结果:干预后,观察组患者伤口温度高于对照组,渗液pH值、疼痛评分、Bates-Jensen评分低于对照组,差异均具有统计学意义( P<0.05);观察组患者创面愈合时间短于对照组,住院费用少于对照组,差异具有统计学意义( P<0.05)。 结论:慢性伤口标准化干预体系可有效提高慢性伤口的治疗效果,缩短伤口愈合时间,降低伤口治疗费用和患者个人、医疗保健系统及社会的负担,能够为临床伤口护理工作的落实和进一步研究发展提供科学的指导和依据。
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abstractsObjective:To establish a standardized intervention system for chronic wounds and observe its clinical practice application effects.Methods:From January to December 2019, convenience sampling was used to select 150 patients with chronic wounds admitted to Room 1 of the Wound Treatment Center of the No.988 Hospital of the Chinese People's Liberation Army as the control group, and 145 patients with chronic wounds admitted to Room 2 of the Wound Treatment Center as the observation group. Control group conducted conventional wound intervention, and observation group implemented standardized wound intervention. The wound and pain of the two groups of patients were compared.Results:After the intervention, the wound temperature of observation group was higher than that of control group, and the pH value of exudate, pain score, and Bates-Jensen score were lower than those of control group, and the differences were statistically significant ( P<0.05) . The wound healing time of observation group was shorter than that of control group, and the hospitalization cost was less than that of control group, and the differences were statistically significant ( P<0.05) . Conclusions:The standardized intervention system for chronic wounds can effectively improve the treatment effect of chronic wounds, shorten wound healing time, reduce wound treatment costs and the burden on patients, medical care systems and society, and can provide scientific guidance and basis for the implementation, further research and development of clinical wound care.
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