灌洗-负压封闭引流治疗慢性创面护理研究

Nursing Research on Vacuum Sealing Drainage with Instillation for Chronic Wounds

目的:探讨灌洗-负压封闭引流治疗技术在慢性创面中的应用效果及护理体会。方法:选取2017年1月-2018年1月在我科治疗的慢性创面并接受了灌洗-负压封闭引流治疗的55例患者为研究对象,在这期间予以相应的护理措施,观察患者创面感染控制情况、创面清洁时间、创面面积、并发症、预后及护理情况。结果 55例患者中,接受灌洗-负压封闭引流治疗及相应的护理后,创面感染得到有效控制;创面清洁时间7~30min,平均时间(13.88±6.93)d,治疗后创面面积较前缩小,差异有统计学意义(P<0.05);无明显堵管及严重并发症出现;平均住院时间(30.12±14.21)d;护理后患者疼痛较前减轻,差异有统计学意义(P<0.05)。结论创面应用灌洗-负压封闭引流治疗,并配合相应护理措施,能够有效缩小患者创面面积,促进肉芽生长,缩短患者住院时间,加速康复,增加了患者的满意度。

Objective To explore the application and nursingofvacuum sealing drainage with instillation(VSDi)in chronic wounds.Methods 55 patients with chronic,wounds treated in our department from January 2017 to January 2018,who were treated with VSDi,were selected as the research object,and the corresponding nursing measures were given during this period.The control of wound infection,the time of wound cleaning,wound area,complications,prognosis and nursing condition were observed.Resultsln the 55 cases,the wound infection was effectively controlled after VSDi treatment and corresponding nursing,and the time of wound cleaning was 7~30 days,average(13.88 ± 6.93)days,and the area of wound surface was significantly reduced before and after treatment(P<0.05);No obvious plugging and severe complications were found;the average time ofhospitalization(30.12 ± 14.21)day.After the nursing,the patients’ pain was reduced compared with before,and the difference was statistically significant(P<0.05).Conclusion the treatment of chronic wound with VSDi,combined with corresponding nursing measures,can effectively reduce the area of the wound,promote the growth of granulation,shorten the time of hospitalization,accelerate the recovery and increase the satisfaction of the patients.