伤口床准备理论指导下处理腹部裂开伤口的效果

Effect of management of abdomen wound dehiscence under guidance of wound bed preparation theory

目的探讨伤口床准备理论指导下处理腹部裂开伤口的效果。方法 13例腹部切口裂开伤口,遵循伤口床准备理论,对患者实施个体化护理计划。做好伤口床准备后,使用免缝胶带拉合,或由外科医生行切口二期缝合。观察治疗前后伤口床状况,包括伤口面积、深度、渗液量及伤口床组织类型计分,并观察伤口床准备时间和伤口愈合时间。结果 13例伤口愈合,治疗后伤口渗液量和伤口组织类型计分低于治疗前,差异有统计学意义(P<0.01)。伤口床准备时间(10.23±4.46)d,愈合时间(16.31±3.17)d。伤口床准备时间与伤口组织类型计分(r=0.819,P<0.01)和年龄(r=0.738,P<0.01)呈显著正相关。结论伤口床准备理论对各种腹部愈合不良切口均有指导意义,有助于改善伤口床情况,促进肉芽新生,加速创面愈合。

Objective To evaluate the effect of management of abdomen wound dehiscence under guidance of Wound Bed Preparation ( WBP) theory. Methods Thirteen patients with abdomen wound dehiscence were selected. The individual nursing plan based on WBP theory was performed.The incision was closed by steri-strips or secondary closure after WBP. The condition of wound bed,including wound area, depth, wound discharge and pressure ulcer scale for healing (PUSH) were compared before and after treatment. The preparation time of wound bed and wound healing time were recorded. Results The amount of wound discharge and PUSH score were significant lower after treatment than those before treatment (P <0. 01) . The average preparation time of wound bed and wound healing time were (10. 23 ± 4. 46) days and (16.31 ±3.17) days, respectively. The preparation time of wound bed was positively correlated with PUSH score (r =0.819, P <0.01) and age ( r = 0. 738,P <0. 01). Conclusion The WBP theory shows instructive value in management of abdomen wound dehiscence. It can improve the condition of wound bed and accelerate wound healing.