以伤口门诊为主导的链式管理路径在慢性伤口中的应用分析

Application of chain management path led by the wound clinic in chronic wounds

目的:探讨以伤口门诊为主导的链式管理路径应用于慢性伤口中的效果。方法:选取2022年1月1日~2022年10月31日皖南医学院第二附属医院收治的慢性伤口患者,采用随机数字表法将患者分为对照组(常规门诊管理)和实验组(以伤口门诊为主导的链式管理路径干预),每组50例。对比两组干预前后伤口愈合状况、心理状态及生活质量差异。结果:两组患者干预后伤口愈合状况各维度、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均较干预前下降(P<0.05),且实验组干预后伤口愈合状况各维度、HAMA、HAMD评分下降幅度优于对照组(P<0.05)。两组患者干预后生活质量各维度评分及总分均较干预前上升(P<0.05)。结论:以伤口门诊为主导的链式管理路径应用于慢性伤口中可促进伤口愈合,提升自护能力,改善心理状态及生活质量。

Objective:To observe the efficacy of chain management pathway led by the wound clinic in the management of chronic wounds.Methods:Patients with chronic wounds admitted to our hospital from January 1,2022 to October 31,2022 were included,and divided into two groups(n=51 for each group)using random number table.Patients in the control group received just routine outpatient management and those in the observational group were intervened by chain management pathway oriented in the wound outpatient.Then the two groups were compared regarding the wound healing status,changes of psychological status and quality of life before and after the intervention.Results:The scoring on wound healing status,and each components on Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)was decreased after intervention in both groups(P<0.05),and the decrease was more significant in observational group than in control group(P<0.05).Conclusion:Chain management pathway led by the outpatient wound service in chronic wound care delivery can facilitate the wound healing,improve psychological status and quality of life.