VSD技术与综合护理对难愈性压疮创面的护理效果

Effects of VSD technology and comprehensive nursing care on the treatment of refractory bedsore wounds

目的探讨封闭负压引流(VSD)技术联合综合护理模式在慢性难愈性压疮创面中的应用。方法选取我科收治的难愈性压疮创面患者64例作为研究对象,按照随机数字表法分为对照组和VSD组,各32例。对照组采用常规的护理方式进行护理,VSD组患者采用VSD技术,并联合综合护理模式进行护理。观察指标包括两组患者治疗后2周、4周的创面愈合率、护理满意度、住院总费用、住院天数和细菌培养情况,统计并进行比较分析。结果VSD组治疗后2周、4周创面愈合率均高于对照组,对照组合并感染例数高于VSD组,差异有统计学意义(P<0.05)。VSD组患者的护理满意度,包括服务态度、工作责任心和专业技术能力的满意度均高于对照组(P<0.05)。VSD组患者的平均住院费用高于对照组,而住院天数、换药次数显著低于对照组(P<0.05)。两组患者治疗2周后创面的细菌培养结果表明,VSD治疗组患者细菌阳性率远远低于对照组(P<0.05)。结论慢性难愈性压疮创面实施VSD技术联合综合护理模式,可有效促进创面愈合,提高患者对护理工作的满意度。

Objective This study was designed to assess the efficacy of vacuum sealing drainage(VSD) combined with comprehensive nursing care on the refractory bedsore wounds. Methods The participants were 64 patients with refractory bedsore wounds who admitted in our hospital. They were randomly divided into the VSD group and the control group with 32 cases in each group. The control group was treated with conventional nursing care. The VSD group was treated with VSD technology and combined with comprehensive nursing care. The indicators of this study contain the wound healing rate after 2 and 4 weeks treatment, nursing satisfaction, the total patient cost of hospitalization, the length of stay, as well as the bacteria culture of wounds. The results were statistically analyzed between groups. Results The wound healing rate of the VSD group was significantly higher than the control group(P< 0.05), and there was significant higher incidence of concurrent infection in the control group(P < 0.05). Statistically, significant difference was found between two groups in terms of the nursing satisfaction, which were included service attitude, sense of responsibility, and technical-professional ability, respectively. In addition, although the length of stay in the VSD group was shorter than that in the control group, the total patient cost of hospitalization was much higher than that of the control group(P < 0.05). Compared the bacteria culture on wounds of the two groups in 2 weeks after treatment, the results indicated that the positive rate of bacterial culture of VSD group significantly lower than that in the control group. Conclusion The application of VSD technology combined with comprehensive nursing care on the treatment of refractory bedsore wounds, may prominently accelerate the wound healing, and improve the nursing satisfaction of patients.