老年慢性伤口病人家庭照顾者疲劳现状及影响因素分析

目的:了解老年慢性伤口病人家庭照顾者疲劳现状及影响因素,为制订干预措施,减轻家庭照顾者的疲劳提供参考依据。方法:采用疲劳自评量表、习得性无助量表对就诊于北京市某三级甲等医院门诊换药室的380名老年慢性伤口病人家庭照顾者进行问卷调查。结果:老年慢性伤口病人家庭照顾者总体疲劳状况得分为(73.30±18.20)分;单因素分析结果显示,不同年龄、婚姻状况、与病人关系、平均每年照顾病人时间、照顾者身体状况、照顾者患慢性病数量、照顾者伤口护理技能了解程度、病人日常生活能力的家庭照顾者疲劳状况得分比较差异均有统计学意义(P<0.05);多元线性回归分析结果显示,照顾者身体状况、病人日常生活能力、照顾者习得性无助感是影响老年慢性伤口病人照顾者疲劳的因素。结论:老年慢性伤口病人照顾者疲劳水平较高,建议政府部门加快推进“互联网+护理服务”的开展,制定政策、建立行业标准,保障护患权利,以减轻照顾者疲劳。

慢性伤口病人健康素养与健康行为的相关性分析

[目的]探讨慢性伤口病人健康素养与健康行为的相关性,为促进慢性伤口愈合的治疗及护理方案提供参考。[方法]采用便利抽样法,选取贵阳市某三级甲等医院所有符合纳入标准的慢性伤口病人86例,采用慢性病病人健康素养量表、中文修订版健康行为量表(HPLP-ⅡR)、自行设计的一般资料调查表进行调查。[结果]慢性伤口病人健康素养总得分为(44.89±12.31)分,健康行为总得分为(88.38±12.96)分;慢性伤口病人健康素养水平与健康行为水平呈正相关(r=0.671,P<0.01)。[结论]慢性伤口病人健康素养与健康行为呈正相关,伤口治疗师医生护士应该采取有效措施提高病人及家属健康素养,促使病人形成良好的健康行为。

Effectiveness of fire needle combining with moist healing dressing to promote the growth of granulation tissue in chronic wounds:A case report

In this case study,we analyzed the wound-healing process of a patient with a chronic wound who underwent fire needle treatment,and we tracked the coverage of granulation tissue and decrease of slough and exudate.An 85-year-old man had repeated right shoulder and back pain,itching,and skin festering for more than 1.5 years.A fire needle was administered combined with moist dressing once every 5 days to promote wound healing.After six rounds of fire needle treatment,granulation tissue formed over the surface of the wound base,the depth of the wound had become shallow,and the wound area was reduced.No complications occurred during the intervention.Fire needle therapy combined with a moist wound-healing dressing can be an effective alternative approach in managing chronic wounds.