在治疗软组织肉瘤切除术后皮肤缺损时,伤口、造口和排便护士与矫形外科医生合作的益处:一项回顾性病例对照研究。

IF 1.7 3区 医学 Q2 NURSING
Hiromi Sasaki, Tomoyo Nishiobino, Hiroyuki Tominaga, Akihiro Tokushige, Naohiro Shinohara, Satoshi Nagano, Noboru Taniguchi
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引用次数: 0

摘要

目的:本研究旨在评估骨科手术和妇产科护士合作管理皮下肉瘤切除术患者的益处:设计:回顾性病例对照研究:样本包括 25 名接受软组织肉瘤广泛切除术的患者,随后进行了两阶段分层厚皮移植术。数据收集时间为 2015 年 1 月至 2021 年 4 月,地点在日本鹿儿岛的一家大学医院。为了便于比较,我们将这些患者分为两组:干预组患者由骨科医生和一名妇产科护士共同管理;非干预组患者在没有妇产科护士参与的情况下进行管理:从病历中回顾性收集患者背景和治疗相关信息,并在WOC护士干预组和非干预组之间进行比较,包括最大肿瘤直径、手术时间、最大皮肤缺损直径、住院时间以及从手术到伤口完全愈合的时间:结果:WOC 护士干预组的平均住院时间明显短于非干预组(38.3 天,SD = 8.0 vs 47.1 天,SD = 10.2;P = .023):结论:与有 WOC 护士参与的传统伤口管理相比,有 WOC 护士参与的合作伤口管理缩短了住院时间。基于这些研究结果,我们认为妇产科护士为皮下肉瘤切除术患者的术后伤口管理提供了重要的桥梁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benefits of Collaboration Between the Wound, Ostomy, and Continence Nurse and Orthopedic Surgeon When Treating Skin Defects After Soft Tissue Sarcoma Resection: A Retrospective Case-Control Study.

Purpose: The purpose of this study was to evaluate the benefits of collaborative management between orthopedic surgery and WOC nurses in patients undergoing resection of subcutaneous sarcomas.

Design: Retrospective case-control study.

Subjects and setting: The sample comprised 25 patients who underwent wide resection for soft tissue sarcoma, followed by 2-stage split-thickness skin grafting. Data collection occurred between January 2015 and April 2021 in a university hospital based in Kagoshima, Japan. For comparison, we categorized these patients into 2 groups: intervention group participants were managed by an orthopedic surgeon and a WOC nurse; nonintervention group members were managed without WOC nurse participation.

Methods: Patient background and treatment-related information was retrospectively collected from medical records and compared between the WOC nurse intervention group and the nonintervention group, including maximum tumor diameter, surgical time, maximum skin defect diameter, length of hospital stay, and time from surgery to complete wound healing.

Results: The average length of hospital stay was significantly shorter in the WOC nurse intervention group compared with the nonintervention group (38.3 days, SD = 8.0 vs 47.1 days, SD = 10.2; P = .023).

Conclusion: Collaborative wound management with a WOC nurse resulted in a shorter hospital length of stay when compared to traditional management with WOC nurse involvement. Based on these findings, we assert that WOC nurses provide an important bridge between postoperative wound management in patients undergoing resection of subcutaneous sarcomas.

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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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