融合病房糖尿病足合并多发皮肤溃疡继发颅骨外露患者的多学科协作护理

One-stop integrated care for a patient with multiple skin ulcers leading to secondary cranial bone exposure and diabetic foot complications

总结1例融合病房糖尿病足合并多发皮肤溃疡继发颅骨外露患者的多学科协作护理体会。基于融合病房一站式护理模式,制订全疗程针对性护理方案,包括:头部扩创筋膜皮瓣转移术后皮瓣护理、双足扩创负压术后预防复发护理等个性化创面护理方案,助力创面愈合、预防溃疡复发;全程血糖控制管理;完善营养提升计划;以问题为导向的院外延续护理。经过多学科一站式融合护理,患者病情好转出院。随访3个月,患者血糖控制良好,足部和头顶溃疡愈合。

To summarizes an one-stop integrated care approach for a patient with multiple skin ulcers leading to,secondary cranial bone exposure and diabetic foot complications.Based on the one-stop nursing model of integrated wards,we developed a targeted nursing plan for the entire course of treatment,including the flap care after head expansion fascial flap transfer surgery,recurrence prevention care after foot expansion negative pressure and other personalized wound care plans to help wound healing and prevent ulcer recurrence,whole-process blood sugar control and management,improving nutrition promotion programs,problem-oriented out-of-hospital continuous care.After multidisciplinary one-stop integrated nursing,the patient's condition improved and was discharged.After 3 months of follow-up,the patient's blood glucose was well controlled and the foot and crown ulcers healed.