延续性护理在外科门诊患者慢性伤口愈合中的应用效果

Application Effect of Continuous Nursing in Chronic Wound Healing of Surgical Patients

目的分析在外科门诊患者慢性伤口愈合中应用延续性护理效果。方法选取该院2019年1—12月外科门诊收治的慢性伤口患者59例,依照患者入院救治先后顺序,将患者分为延续Y组(30例)、参照C组(29例),延续Y组用常规护理+延续性护理,参照C组用常规护理,两组用不同护理模式8周后对患者伤口愈合度、患者满意度、伤口不良事件发生率行观察分析。结果两组用不同护理模式8周后,Y组患者伤口愈合有效率96.67%、患者满意度93.33%、伤口不良事件发生率3.33%;参照C组患者伤口愈合有效率68.97%、患者满意度68.97%、伤口不良事件发生率27.59%,两组数据行统计分析后差异有统计学意义(χ^2=6.191、5.773、4.964,P<0.05)。延续Y组患者伤口换药次数(16.02±1.26)次、愈合时间(35.21±4.14)d、连续两次换药间隔时间(2.08±0.57)d,参考C组患者伤口换药次数(14.47±1.32)次、愈合时间(63.06±1.26)d、连续两次换药间隔时间(9.31±1.20)d,延续Y组明显优于参照C组,差异有统计学意义(P<0.05)。结论在外科门诊患者慢性伤口愈合中应用延续性护理可以提高患者伤口愈合度、患者满意度,同时降低患者伤口不良事件发生率,可促进慢性伤口患者尽快康复,具有极高的推广价值与意义。

Objective To analyze the effect of continuous nursing in chronic wound healing in surgical outpatients.Methods 59 patients with chronic wounds admitted to the surgical clinic of the hospital from January to December 2019 were selected.According to the order of admission and treatment,the patients were divided into continuous Y group(30 cases)and reference C group(29 cases),continuous care group Y used conventional care+continuous care,with reference to group C using routine care,the two groups used different care modes for 8 weeks to observe and analyze the wound healing degree,patient satisfaction,and incidence of adverse wound events.Results After 8 weeks of using different care modes in the two groups,the effective rate of wound healing in group Y was 96.67%,patient satisfaction was 93.33%,and the incidence of adverse wound events was 3.33%;the effective rate of wound healing in group C was 68.97%,and patient satisfaction was 68.97%,the incidence of wound adverse events was 27.59%,and the difference between the two groups of data was statistically significant after statistical analysis(χ^2=6.191,5.773,4.964,P<0.05).The number of wound dressing changes of patients in group Y was(16.02±1.26)times,the healing time was(35.21±4.14)d,and the interval between two consecutive dressing changes was(2.08±0.57)d,referring to the number of wound dressing changes of patients in group C,(14.47±1.32)times and healing time of(63.06±1.26)d.The interval between two consecutive dressing changes was(9.31±1.20)d,and the continuous Y group was significantly better than the reference C group,the difference was statistically significant(P<0.05).Conclusion The application of continuous nursing in the chronic wound healing of surgical outpatients can improve wound healing and patient satisfaction,and reduce the incidence of adverse wound events.It can promote the recovery of chronic wound patients as soon as possible.It has extremely high promotion value and significance.