Hui-Hsiu Chang, Wen-Chu Chiang, Chen-Shu Chang, Chau-Chen Torng, Matthew Huei-Ming Ma
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引用次数: 0
Abstract
Yunlin County, Taiwan, faces healthcare challenges given its super-aged population, limited medical accessibility, and a rise in chronic wounds. To address these issues, we introduced the "Fight Out to CARE" project, dispatching wound nurses to patients' locations to perform Cleansing, Avoidance, Removal, and Enhancement (CARE) under tele-supervision from a plastic surgeon. The program was conducted weekly in 2018 and twice monthly in 2019 for 53 weeks. We included 189 patients with 349 wounds in 17 homes and 17 long-term care facilities across 11 towns. Pressure injuries (PIs) comprised 67% of all wounds, with 96% of PIs categorized as full-thickness (FTPIs), including Stage 3, Stage 4, and Unstageable. Overall, 174 wounds healed, with 43% of PIs and 41% of FTPIs healed; 37% of PIs healed within 12 weeks. This innovative approach improved accessibility to chronic wound care and demonstrates promising healing outcomes, providing a valuable reference for chronic wound care policy.
期刊介绍：
Journal of the Formosan Medical Association (JFMA), published continuously since 1902, is an open access international general medical journal of the Formosan Medical Association based in Taipei, Taiwan. It is indexed in Current Contents/ Clinical Medicine, Medline, ciSearch, CAB Abstracts, Embase, SIIC Data Bases, Research Alert, BIOSIS, Biological Abstracts, Scopus and ScienceDirect.
As a general medical journal, research related to clinical practice and research in all fields of medicine and related disciplines are considered for publication. Article types considered include perspectives, reviews, original papers, case reports, brief communications, correspondence and letters to the editor.
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