摘要
目的探究分析阶段性伤口评估在腹腔感染并肠瘘患者中的护理效果。方法选取在厦门弘爱医院重症医学科2020年10月至2022年10月进行治疗的腹腔感染并肠瘘患者60例,随机分为干预组(n=30)与研究组(n=30)。干预组进行常规护理干预,研究组基于阶段性伤口评估进行创面护理方案拟定与实施。比较两组治疗患者的炎症指标水平变化、瘘口愈合时间、瘘口周围皮肤组织愈合评分、出院时间、生活质量。结果入院干预前,两组C反应蛋白(CRP)、白细胞计数(WBC)、降钙素原(PCT)、瘘口周围皮肤组织愈合评分比较,差异有统计学意义(P<0.05);护理干预后,研究组患者各项炎症指标水平与瘘口周围皮肤组织愈合评分均低于干预组,差异有统计学意义(P<0.05)、出院时间与瘘口愈合时间均短于干预组,生活质量(CWIS)评分高于干预组,差异均有统计学意义(P<0.05)。结论以阶段性伤口评估为支持的护理干预模式可降低腹腔感染并肠瘘患者炎症水平,促进瘘口愈合,保护瘘口周围皮肤组织,提升生活质量,促使患者早日出院,具有良好的临床应用效果。
Objective To analyze the nursing practice efficacy of staged wound assessment in patients with abdominal infection complicated with intestinal fistula.Methods A total of 60 patients with abdominal infection complicated with intestinal fistula who were treated in the Department of Critical Care Medicine of Xiamen Humanity Hospital from October 2020 to October 2022 were collected,and they were divided into the intervention group(n=30)and the study group(n=30)by the computer random numbering and grouping method.The intervention group was treated with conventional nursing intervention,while the study group was treated by formulating and implementing wound nursing scheme based on staged wound assessment.The changes of inflammatory index level,fistula healing time,skin tissue healing score around fistula,discharge time and quality of life(QoL)were compared between the two groups of patients.Results Before hospital intervention,there were no statistically significant differences in C-reactive protein(CRP),white blood cell count(WBC)and procalcitonin(PCT)and skin tissue healing score around fistula between the two groups;After nursing intervention,the levels of inflammatory indices and the skin tissue healing score around fistula in the study group were lower than those in the intervention group,with statistically significant differences(P<0.05).Meanwhile,the discharge time and fistula healing time in the study group were shorter than those in the intervention group,while the Cardiff Wound Impact Schedule(CWIS)scores were higher than those in the intervention group,all with statistically significant differences(P<0.05).Conclusion The nursing intervention model supported by staged wound assessment can reduce the inflammation level of patients with abdominal infection complicated with intestinal fistula,promote the healing of fistula,and protect the skin tissue around fistula.In addition,it can also improve the QoL,and urge patients to discharge from hospital as soon as possible,which has good clinical application effect.
作者
赵金波
林瑞萍
ZHAO Jinbo;LIN Ruiping(Department of Critical Care Medicine,Xiamen Humanity Hospital Affiliated to Fujian Medical University,Fujian,Xiamen 360111,China)
出处
《中国医药科学》
2023年第13期132-135,共4页
China Medicine And Pharmacy
关键词
阶段性伤口评估
腹腔感染
肠瘘
护理
炎症水平
出院时间
Staged wound assessment
Abdominal infection
Intestinal fistula
Nursing
Inflammation level
Discharge time
