CCM干预模式联合液体清洁敷料伤口处理对下肢静脉性溃疡患者VAS评分及伤口愈合情况的影响

Effect of CCM Intervention Mode Combined with Liquid Clean Dressing Wound Treatment on VAS Score and Wound Healing in Patients with Venous Ulcer of Lower Extremity

目的:探讨协同护理(CCM)干预模式联合液体清洁敷料伤口处理在下肢静脉性溃疡(VLU)患者中的应用效果。方法:选取笔者所在医院VLU患者88例,依照入院时间将其分为研究组(n=44)和对照组(n=44)。对照组采用常规护理,研究组在对照组基础上采用CCM干预模式联合液体清洁敷料伤口处理。比较两组干预前后自我效能(GSES)、自我护理能力(ESCA)、视觉模拟量表(VAS)、慢性静脉功能不全生活质量(CIVIQ)评分及伤口面积减少率。结果:研究组伤口面积减少率优于对照组,差异有统计学意义(P<0.05);干预1个月后研究组GSES、ESCA、CIVIQ评分均高于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05)。结论:CCM干预模式联合液体清洁敷料伤口处理应用于VLU患者,可改善患者自我效能,提高患者自我护理能力,促进创面愈合,减轻患者疼痛,进而提高患者生活质量。

Objective:To investigate the effect of collaborative nursing (CCM) intervention mode combined with liquid clean dressing wound treatment in patients with venous ulcer of lower extremity (VLU).Method:A total of 88 patients with VLU in our hospital were selected and divided into the study group (n=44) and the control group (n=44) according to the admission time.The control group received routine nursing,the study group adopted CCM intervention mode combined with liquid clean dressing wound treatment on the basis of the control group.Self-efficacy (GSES),self-care ability (ESCA),visual analog scale (VAS),chronic venous insufficiency quality of life (CIVIQ) score and wound area reduction rate were compared between the two groups before and after intervention.Result:The wound area reduction rate in the study group was better than that in the control group,and the difference was statistically significant (P<0.05).After 1 month of intervention,GSES,ESCA and CIVIQ scores in the study group were higher than those in the control group,and VAS score was lower than that in the control group,the differences were statistically significant (P<0.05).Conclusion:CCM intervention mode combined with liquid clean dressing wound treatment applied to VLU patients can improve patients’ self-efficacy,improve self-care ability,promote wound healing,reduce pain,and improve the quality of life.