An integrated medical-care wound management strategy in patients with hard-to-heal lower extremity ulcers undergoing negative pressure wound therapy.

IF 1.7 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-08-01 DOI:10.12968/jowc.2023.0148

Lijiao Wu, Hongling Guan, Jin Yan, Hongyan Zhang, Qiong Fang, Baoyu Wen, Kefeng Lin, Zhaorong Xu

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引用次数: 0

Abstract

Objective: To explore the clinical effect of an integrated medical‑care wound management strategy in nursing care for patients undergoing negative pressure wound therapy (NPWT) for hard‑to‑heal (chronic) lower extremity ulcers.

Method: Patients admitted to Fujian Provincial Hospital, China, from January to December 2022 were assigned to either an experimental group or a control group. Patients in the experimental group received nursing care under the guidance of an integrated medical care wound management strategy, while patients in the control group received clinical primary nursing care. The differences between the two groups before and after NPWT with regards to wound condition, hospital length of stay (LoS), inflammation, pain, quality of life (QoL) and anxiety were analysed.

Results: A total of 60 patients were included (30 in each group). Both groups showed wound contraction. The experimental group had significantly shorter wound healing times and LoS. Inflammation (measured by white blood cell counts and C‑reactive protein levels) was reduced and pain was relieved in both groups. Physical function, role‑physical, bodily pain, general health, vitality, mental health and anxiety after NPWT treatment were improved in both groups, while there were no significant differences in social functioning and roleemotional. The experimental group had significantly lower pain (as measured by numerical rating scale scores) and significantly better physical function, general health and mental health, and less bodily pain and anxiety than the control group, with statistically significant differences (p<0.05).

Conclusion: The findings of this study showed that an integrated medical care wound management strategy for patients undergoing NPWT effectively promoted wound healing, reduced inflammation, alleviated pain, and improved the QoL of patients with hard‑to‑heal lower extremity ulcers, and deserves further research and promotion.

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难以愈合的下肢溃疡患者接受负压伤口治疗的综合医疗护理伤口管理策略。

目的：探讨综合医疗护理创面管理策略在下肢溃疡负压创面治疗（NPWT）中护理的临床效果。方法：将2022年1 - 12月福建省立医院收治的患者分为实验组和对照组。实验组患者在综合医疗护理创面管理策略指导下进行护理，对照组患者接受临床初级护理。分析两组患者在NPWT前后伤口状况、住院时间（LoS）、炎症、疼痛、生活质量（QoL）、焦虑等方面的差异。结果：共纳入患者60例（每组30例）。两组均出现创面收缩。实验组创面愈合时间和LoS明显缩短。两组的炎症（通过白细胞计数和C反应蛋白水平测量）减轻，疼痛减轻。NPWT治疗后，两组的身体功能、角色-身体、身体疼痛、一般健康、活力、心理健康和焦虑都有所改善，而社会功能和角色情感方面没有显著差异。实验组患者的疼痛程度（以数值评定量表得分衡量）明显低于对照组，身体机能、一般健康状况和心理健康状况明显优于对照组，身体疼痛和焦虑程度明显低于对照组，差异有统计学意义(p)。本研究结果表明，NPWT患者的综合医疗护理创面管理策略可有效促进难以愈合的下肢溃疡患者创面愈合、减少炎症、缓解疼痛、改善生活质量，值得进一步研究和推广。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.