伤口护理管理的新进展

Key advances of wound care management for nursing practice

文章阐述了伤口的愈合受内在和外在因素的影响,慢性伤口的治疗需要在"伤口床准备"的原则下应用系统性的方法。伤口分为可愈合性、维持性和不可愈合性;目前,尚无证据表明压疮完全可以避免;对于慢性伤口患者要加强自我管理和社会心理干预,尤其对合并糖尿病等慢性疾病患者的管理涉及多层次干预、卫生政策修订和医疗保健机构的改革。护士是开展伤口优质护理服务的根本,要对护士进行结构化培训,以提高对急慢性伤口患者的服务质量。

Many internal and external factors may influence the healing process of the wound. As for the chronic wound caring,both the ＂wound bed prepa- ration＂ principle and the systematized and holistic approach are important. Wounds can be categorized as healable, sustainable and nonhealable. No evidence can demonstrate the complete prevention of pressure ulcer. Self - management and social - psychological intervention should be strengthened in patients with chronic wounds. As for the Diabetic Foot Ulcer （D17U） patient management, it includes multi -level intervention, health policy, and the healthcare facilities. Nurses with structured knowledge training are fundamental to quality wound care. It is necessary to provide systematic training for nurses to improve the quality of wound care.