PHPF管理模式在肿瘤术后患者难愈性伤口护理中的应用

Application of PHPF Management Model in the Nursing of Refractory Wound in Postoperative Patients with Tumors

目的:探讨PHPF管理模式在肿瘤术后患者难愈性伤口护理中的应用方法及效果。方法:选取2021年8月1日~2022年10月31日80例肿瘤手术患者作为研究对象,随机分为实验组和对照组各40例,对照组采用常规护理干预,实验组在此基础上实施PHPF管理模式;比较两组伤口愈合时间及1个月后伤口愈合率,干预前后卡氏功能状态评分标准(KPS)评分、基本生活活动能力(BADL)评分、肿瘤病人生活质量评分(QOL)评分,干预1个月后McCloskey/Mueller满意度量表(MMSS)评分。结果:实验组伤口愈合时间短于对照组(P<0.05),1个月后伤口愈合率高于对照组(P<0.05);两组干预后KPS、BADL、QOL评分高于干预前(P<0.01),实验组干预后KPS、BADL、QOL评分高于对照组(P<0.01);两组干预1个月后MMSS评分比较差异有统计学意义(P<0.05)。结论:在肿瘤手术患者难愈性伤口护理中采用PHPF管理模式可加快伤口愈合速度,提高愈合率,提升患者的体力状况、生活活动能力和生活质量,改善患者预后。

Objective:To explore the application method and effect of PHPF management model in the nursing of refractory wound in postoperative patients with tumors.Methods:A total of 80 patients with tumors treated from August 1,2021 to October 31,2022 were selected and randomly divided into the experimental group and the control group with 40 cases in each group.The control group was given routine nursing intervention,and the experimental group was given PHPF management model intervention on the basis of the control group.The wound healing time and wound healing rate,Karnofsky Performance Status(KPS),the ability of daily living by Basic Activities of Daily Living(BADL).Quality of Life Scale for Tumor Patients(QOL)and McCloskey/Mueller Satisfaction Scale(MMSS)were compared between the two groups before and after intervention.Results:The wound healing time was shorter in the experimental grou than that in the control group(P<0.05).After 1 month of intervention,the wound healing rate in the experimental group was higher than that in the control group(P<0.05).The KPS,BADL and QOL scores in the two groups were higher after intervention than those before intervention(P>0.01).and those in the experimental group were significantly higher than those in the control group(P<0.01).After 1 month of intervention,there were significant differences in MMSS scores in both groups(P<0.05).Conclusion:The application of PHPF management model in the nursing of refractory wound in patients with tumors can effectively accelerate the speed of wound healing,improve the healing rate,and enhance the physical status,ability of daily living and quality of life in patients,and it is conducive to the prognosis and rehabilitation.