多学科协作干预对慢性伤口患者伤口愈合及生活质量的影响

doi:10.3760/cma.j.issn.1007-1245.2024.12.030

摘要/Abstract

摘要：

目的　探讨慢性伤口患者的多学科协作干预策略，以提高患者伤口愈合效果和生活质量。方法　采用前瞻性研究方法，选取2022年4月至2023年3月佛山市南海区第四人民医院创面修复科收治的72例慢性伤口患者，采用随机数字表法分为对照组与观察组各36例。对照组男19例，女17例，年龄（61.14±8.69）岁，溃疡病程（51.69±14.89）d，给予慢性伤口常规干预；观察组男21例，女15例，年龄（60.53±7.28）岁，溃疡病程（52.94±13.39）d，在对照组基础上进行多学科协作干预。两组均干预至伤口愈合或出院后4周。运用Bates-Jensen伤口评估与效果评价量表（BWAT）和中文版慢性伤口患者生活质量量表（Wound-QoL）评价患者的伤口愈合情况和生活质量，同时记录患者的伤口愈合率和愈合时间。计量资料行独立样本t检验，计数资料行χ²检验。结果　观察组的伤口愈合率高于对照组［94.4%（34/36）比77.8%（28/36）］，愈合时间短于对照组［（43.39±12.86）d比（52.94±15.07）d］，差异均有统计学意义（χ²=4.181，t=2.894，均P<0.05）。干预第4周、伤口愈合后或出院后8周，观察组的BWAT评分均低于对照组［（17.53±5.68）分比（23.64±7.74）分、（13.33±1.41）分比（15.42±4.98）分］，差异均有统计学意义（t=3.818、2.414，均P<0.05）。伤口愈合后或出院后8周，观察组的Wound-QoL总分低于对照组［（29.44±4.69）分比（39.28±5.64）分］，差异有统计学意义（t=8.046，P<0.05）。结论　多学科协作干预可促进慢性伤口患者的伤口愈合，缩短伤口愈合时间，提高生活质量。

关键词:

慢性伤口, 伤口愈合, 生活质量, 多学科协作

Abstract:

Objective　To explore multidisciplinary collaborative intervention strategies for patients with chronic wounds, in order to improve their wound healing effect and quality of life. Methods　A prospective study method was used to select 72 patients with chronic wounds admitted to Wound Repair Department, The Fourth People's Hospital of Nanhai District, Foshan City from April 2022 to March 2023, and they were divided into a control group and an observation group with 36 cases in each group by the random number table method. There were 19 males and 17 females in the control group, aged (61.14±8.69) years, with the duration of ulcer of (51.69±14.89) d, and they received routine intervention for chronic wounds. There were 21 males and 15 females in the observation group, aged (60.53±7.28) years, with the duration of ulcer of (52.94±13.39) d, and they adopted multidisciplinary collaborative intervention model on the basis of the control group. Both groups were intervened until wound healing or 4 weeks after discharge.The Bates-Jensen Wound Assessment Tool (BWAT) and Chinese version of Wound Quality of Life Scale (Wound QoL) were used to evaluate the patients' wound healing status and quality of life, and the patients' wound healing rate and healing time were recorded. Independent sample t test was used for the measurement data and χ² test was used for the count data. Results　The wound healing rate of the observation group was higher than that of the control group [94.4% (34/36) vs. 77.8% (28/36)], and the wound healing time was shorter than that of the control group [(43.39±12.86) d vs. (52.94±15.07) d], with statistically significant differences (χ²=4.181, t=2.894, both P<0.05). At the 4th week of intervention and after wound healing or 8 weeks after discharge, the BWAT scores of the observation group were lower than those of the control group [(17.53±5.68) points vs. (23.64±7.74) points, (13.33±1.41) points vs. (15.42±4.98) points], with statistically significant differences (t=3.818 and 2.414, both P<0.05). After wound healing or 8 weeks after discharge, the total score of Wound QoL of the observation group was lower than that of the control group [(29.44±4.69) points vs. (39.28±5.64) points], with a statistically significant difference (t=8.046, P<0.05). Conclusion　The multidisciplinary collaborative intervention model can improve the wound healing in patients with chronic wounds, shorten the wound healing time, and improve the quality of life.

Key words:

Chronic wounds, Wound healing, Quality of Life, Multidisciplinary collaboration

谭少梅姚靖斌莫卉欣.

多学科协作干预对慢性伤口患者伤口愈合及生活质量的影响 [J]. 国际医药卫生导报, 2024, 30(12): 2078-2082.

Tan Shaomei, Yao Jingbin, Mo Huixin.

Effect of multidisciplinary collaborative intervention on wound healing and quality of life in patients with chronic wounds [J]. International Medicine and Health Guidance News, 2024, 30(12): 2078-2082.

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