“互联网+”伤口造口管理团队对慢性伤口患者生活质量的影响

Impact of “Internet+” wound ostomy management team on the quality of life of chronic wound patients in grassroot hospitals in Guangxi

目的 探讨慢性伤口造口患者造口管理中实施基于“互联网+”伤口造口管理团队干预的效果及对其生活质量的影响。方法 应用便利抽样法选取2021年10月至2022年9月医院的慢性伤口患者60例作为研究对象,随机数字表法分为对照组和干预组,每组30例。对照组实施常规干预,干预组实施基于“互联网+”伤口造口管理团队干预,比较2组干预3个月、6个月和9个月后伤口愈合分期情况和生活质量,并于干预9个月后收集患者护理满意度情况。结果 干预3个月、6个月,2组伤口愈合1期和2期差异无统计学意义(P>0.05),干预组3期少于对照组(P<0.05);干预9个月后,干预组1期多于对照组(P<0.05),2组2期和3期差异无统计学意义(P>0.05)。干预组干预3个月、6个月和9个月后生活质量均高于对照组(P<0.05)。干预组护理满意度高于对照组(P<0.05)。结论 基于“互联网+”伤口造口管理团队干预在基层医院慢性伤口患者中应用效果良好,可促进患者伤口愈合,提高愈合质量,有效地改善其生活质量,进而提升其对医护人员工作的满意度。

Objective To analyze the effect of “Internet+” wound ostomy management team on the ostomy management of patients with chronic wound stoma and its impact on their quality of life.Methods Sixty patients with chronic wounds from October 2021 to September 2022 were selected by convenience sampling method as the study subjects.They were randomly assigned into control group(n=30) and intervention group(n=30) by randomized numerical table method.Conventional intervention and interventions based on the “Internet+” wound ostomy management team were applied to patients of control group and intervention group,respectively.Wound healing staging and quality of life at 3,6 and 9 months of interventions were compared between groups.Nursing satisfaction was evaluated after 9 months of intervention.Results There were no significant differences in stage Ⅰ and stage Ⅱ wound healing at 3 and 6 months of intervention between groups(P>0.05),while the proportion of stage Ⅲ wound healing was significantly lower in the intervention group than that of the control group(P<0.05).After 9 months of intervention,the proportion of stage I wound healing was significantly higher in the intervention group than that of the control group(P<0.05),but no significant differences in stage Ⅱ and stage Ⅲ wound healing between groups(P>0.05).The quality of life at 3,6 and 9 months of intervention was significantly higher in the intervention group than that of the control group(P<0.05).Nursing satisfaction was significantly higher in the intervention group than that of the control group(P<0.05).Conclusion Interventions based on the “Internet +” wound ostomy management team in grassroot hospitals achieve good outcomes in patients with chronic ostomy wounds,which can promote wound healing,improve the quality of healing and quality of life,and thus enhance their satisfaction with the work of health care providers.