Abstract:

Objective To summarize the clinical experience of the establishment and management of wound repair wards led by specialized nurses in our hospital,and to discuss the relevant experience of wound specialty care. Methods Wound repair wards were led by specialized nurses,and a specialized treatment and nursing team was set up to conduct multidisciplinary cooperation,and to implement professional care for patients. 329 patients admitted in wound surgical wards from January 2017 to November 2017 were selected as a control group. 340 patients admitted in wound repair wards from December 2017 to June 2018 were allocated into an experimental group. The outcome measurement of number of dressing changes for wounds,length of stay,healing time,healing rate,medical expenses and patient satisfaction between two groups were compared. Results The number of wound dressing changes in the experimental group and the control group were（25.37±14.33） and（29.06±13.88）;the length of stay were（59.78±30.28） d and （67.61±32.06） d;the wound healing time were （98.24±34.58） d and （110.53±36.53） d;the medical expenses were 15 697.0 RMB and 18 850.0 RMB,which were all statistically significant（P<0.05）. Compared with the control group,the wound healing rate increased from 87.8% to 94.1%,and the patient satisfaction increased from 91.8% to 97.1%. Conclusion The specialized wards for wound healing are operated well and the management of wound is standardized,which facilitates the overall level of nursing care in the hospital and the development of specialized care.

Key words: Chronic Wounds, Wound Repair, Specialized Nursing Care, Ward, Nursing Administration Research

摘要：

目的 总结以专科护士为主导的创面修复病房的建立及管理经验,探讨伤口护理发展的经验与体会。方法 采用回顾性分析方法,创面修复病房成立之前,由外科病房收治慢性伤口患者,以医生为主导,以伤口专科护士为辅,对患者进行管理。2017年12月建立创面修复病房,以伤口专科护士为主导,组建专科化的治疗和护理团队,推行多学科合作,对伤口患者实行全程、专业的管理。选择2017年12月—2018年6月创面修复病房收治的340例伤口患者为试验组,2017年1月—11月外科病房收治的329例伤口患者为对照组,比较两组的创面换药次数、住院时间、伤口愈合时间、创面愈合率、医疗总费用和患者满意度。结果 试验组和对照组的创面换药次数分别为（25.37±14.33）次和（29.06±13.88）次,住院时间分别为（59.78±30.28） d和（67.61±32.06） d,伤口愈合时间分别为（98.24±34.58） d和（110.53±36.53） d,医疗总费用的中位数分别为15 697.0元和18 850.0元,两组比较,差异均有统计学意义（P<0.05）。试验组与对照组比较,创面愈合率由87.8%提高至94.1%,患者满意度由91.8%提高至97.1%。 结论 创面修复病房运行良好,伤口管理规范,提高全院专科护理水平,促进伤口护理的发展。

关键词: 慢性伤口, 创面修复, 专科护理, 病房, 护理管理研究