程序式换药指导对居家压疮患者伤口愈合的影响研究

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 178-.

程序式换药指导对居家压疮患者伤口愈合的影响研究

青岛市市立医院伤口造口门诊，山东青岛 266011

出版日期:2022-07-01 发布日期:2022-10-26

The study for influence involved in the healing of pressure sores homecare patients instructed by Procedure dressing change

Wound-stomy Clinic of Qingdao Municipal Hospital, Shandong Qingdao 266011, China

Online:2022-07-01 Published:2022-10-26

摘要/Abstract

摘要：

目的探讨程序式换药指导对居家压疮患者伤口愈合的影响。方法选取青岛市市立医院伤口造口门诊2019 年3 月至2021 年10 月行换药、咨询的79 例居家护理压疮患者，按照随机数字表法进行分组，其中采用常规换药指导的40 例设为对照组，采用程序式换药指导的39 例设为研究组。对比两组压疮伤口创面显效愈合率、压疮再发生率、家属换药正确率。结果研究组患者压疮伤口创面显效愈合率显著高于对照组，压疮再发生率明显低于对照组，差异有显著性（P ＜ 0.05），且家属换药正确率高于对照组，差异有显著性（P ＜ 0.01）。结论程序式换药指导能有效促进居家压疮患者伤口愈合，缩短愈合时间，降低再发率，可提高患者及家属对压疮的认知及自我护理技能，改善患者的生活质量。

关键词: 压疮, 居家护理, 程序换药, 伤口, 愈合

Abstract:

Objective To explore the influence involved in the healing of pressure sores homecare patients instructed by Procedure dressing change. Method 79 cases of homecare patients suffer from pressure sores who consulted and was operated dressing change in Qingdao Municipal Hospital between March 2019 and October 2021 was selected. Grouped according to random number table method. The contrast group was the 40 cases which was instructed with regular dressing change. The study group was the 39 cases instructed with procedure dressing change. The effective healing rate、Recurrence rate of pressure sore wound and Correct rate of dressing change of family members was compared between the two groups. Result The effective healing rate in study group was much higher than that in the contrast group(P ＜ 0.05). Recurrence rate of pressure sore in the study group was much lower than that in the contrast group(P ＜ 0.05). The correct rate of dressing change of family members in study group was significantly higher than that in the contrast group(P ＜ 0.01). Conclusion Instructing by procedure dressing change can effectively promote healing the pressure wounds of homecare patients and Shorten healing time and reduce recurrence rate. It can improve the cognition of pressure ulcers and self-care skills of patients and their families, and improve the quality of life of patients.

Key words: Pressure sores, Homecare, Procedure dressing change, Wound, Healing

管芝玲, 黄建英, 刘慧. 程序式换药指导对居家压疮患者伤口愈合的影响研究 [J]. 临床普外科电子杂志, 2022, 10(3): 178-.

GUAN Zhiling, HUANG Jianying, LIU Hui. The study for influence involved in the healing of pressure sores homecare patients instructed by Procedure dressing change [J]. Journal of General Surgery for Clinicians, 2022, 10(3): 178-.