Evaluating The Effects of Fine Cooperation Program and Doctor-Nurse Integration on Patients with Chronic Wounds

IF 2 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of health behavior Pub Date : 2023-08-30 DOI:10.5993/ajhb.47.4.1

Hongmei Xie, Li Ke, Xue Han, Shouyong Zhang, Pingping Song, Pingping Zhang, Chunmei Yan, YuXia Ding, Yan Liu

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引用次数: 0

Abstract

Objective: This study aimed to evaluate the effects of fine cooperation program of doctor-nurse integration on wound healing, patient's psychological state and pain degree of patients with chronic wounds. Methods: A total of 100 patients with chronic wounds who were treated with conventional wound management from March 2016 to December 2018 were enrolled as a control group, while another 100 patients with chronic wounds who were treated with the fine cooperation program of doctor-nurse integration during January to October 2020 were selected as an observation group. Nursing satisfaction, general conditions (waiting time for dressing change, hospitalization time, and wound healing time) and wound healing grade were observed, and the pain degree (scored by the simplified McGill scale) and psychological state [evaluated by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS)] were compared between before intervention and on Day 5 of intervention. Results: The nursing satisfaction was higher and the waiting time for dressing change, hospitalization time and wound healing time were shorter in the observation group than those in the control group (P<0.05). On Day 5 of intervention, the present pain intensity, Visual Analogue Scale, pain rating index, SDS and SAS scores are seen declined in both groups compared with those before intervention, and they were lower in the observation group than those in the control group (P<0.05). The observation group had a higher wound healing grade than that of the control group (P<0.05). Conclusion: The fine cooperation program of doctor-nurse integration can shorten the waiting time for dressing change and hospitalization time.

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精细配合方案与医护融合对慢性创伤患者的效果评价

目的:探讨医护融合精细配合方案对慢性创伤患者伤口愈合、患者心理状态及疼痛程度的影响。方法:选取2016年3月至2018年12月采用常规创面管理治疗的慢性创面患者100例作为对照组，选取2020年1月至10月采用医护融合精细化合作方案治疗的慢性创面患者100例作为观察组。观察干预前与干预第5天患者的护理满意度、一般情况(换药等待时间、住院时间、创面愈合时间)、创面愈合等级，并比较干预前与干预第5天患者的疼痛程度(采用简化McGill量表评分)和心理状态(采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估)。结果:观察组患者护理满意度较高，换药等待时间、住院时间、创面愈合时间均短于对照组(p < 0.05)。干预第5天，两组患者现时疼痛强度、视觉模拟量表、疼痛评分指数、SDS、SAS评分均较干预前下降，且观察组低于对照组(p < 0.05)。观察组创面愈合等级高于对照组(p < 0.05)。结论:医护一体化的精细化配合方案可缩短换药等待时间和住院时间。

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来源期刊

American journal of health behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.30

自引率

0.00%

发文量

期刊介绍： The Journal seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.