中西医结合护理 (Jul 2024)

Application of nursing interventions based on a multidisciplinary team in wound care for patients with pressure injuries (基于多学科协作诊疗团队的护理服务在压力性损伤患者伤口护理中的应用效果观察)

  • YANG Zhu (杨竹),
  • CUI Yuanmin (崔远敏),
  • HU Dingxiang (胡定祥),
  • YUE Yumei (岳玉梅),
  • RENG Yuping (任玉平)

DOI
https://doi.org/10.55111/j.issn2709-1961.20240718002
Journal volume & issue
Vol. 10, no. 7
pp. 123 – 128

Abstract

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Objective To investigate the application value of nursing interventions based on Multidisciplinary teams in wound care for patients with pressure injuries. Methods The study was conducted from July 2021 to July 2023, and 60 patients with pressure injuries were selected as the observation subjects. They were randomly divided into the observation group (n=30) and the control group (n=30) using the random number table. The control group received routine nursing care, while the observation group received multidisciplinary team-based nursing interventions on the basis of the routine care. The wound healing conditions were evaluated, and scores of Pressure Ulcer Scale for Healing (PUSH), Self-rating Depressing Scale (SDF) and Self-rating Anxiety Scale (SAS) were compared between two groups. Results The wound healing rate in the observation group was 96. 67%(29/30), which was higher than 70. 00%(21/30)in the control group (P＜0. 01). The scores of wound morphology, wound area, 24-hour exudate score, and PUSH total score decreased in both groups after nursing(P＜0. 01), and observation group had lower scores of PUSH assessment compared with the control group after nursing(P＜0. 01). The SAS and SDS scores decreased in both groups after nursing(P＜0. 01), and SAS and SDS scores in the observation group were lower than those in the control group (P＜0. 01). Conclusion In the care of patients with pressure injuries, adopting nursing interventions based on the multidisciplinary team can help promote wound healing and alleviate negative emotions of patients. (目的 探讨基于多学科协作诊疗团队的护理服务在压力性损伤患者伤口护理中的应用效果。方法 2021年7月—2023年7月, 选取医院收治的60例压力性损伤患者为研究对象, 采用随机数字表法分为观察组(n=30)与对照组(n=30)。对照组接受常规护理, 观察组在对照组基础采用基于多学科协作诊疗团队的护理服务。评估患者创面愈合情况, 对比两组护理前后压疮愈合计分量表(PUSH)评分、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分。结果 观察组创面愈合率为96. 67%(29/30), 高于对照组的70. 00%(21/30), 差异有统计学意义(P＜0. 01)。两组护理后创面形态、创面面积、24 h渗液量评分及PUSH总分较护理前降低, 且观察组创面形态、创面面积、24 h渗液量评分及PUSH总分低于对照组, 差异有统计学意义(P＜0. 01)。两组护理后SAS、SDS评分较护理前降低, 且观察组SAS、SDS评分低于对照组, 差异有统计学意义(P＜0. 01)。结论 压力性损伤患者伤口护理, 在常规护理基础上开展基于多学科协作诊疗团队的护理服务, 有助于促进创面愈合, 缓解患者不良情绪。)

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