数字伤口护理溶液对愈合时间的影响:一项家庭健康环境的描述性研究。

IF 7.7
PLOS digital health Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI:10.1371/journal.pdig.0000855
Heba Tallah Mohammed, Robert D J Fraser, Amy Cassata
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引用次数: 0

摘要

背景:慢性伤口由于愈合时间长和费用高,对家庭医疗保健(HH)提出了重大挑战。数字伤口护理解决方案(DWCS)已显示出提高愈合效率的潜力。本研究评估了持续使用DWCS对HH组织愈合时间的影响,并探讨了未愈合但改善的压力性损伤(pi)和糖尿病性溃疡(DUs)的面积减少。方法:本描述性研究分析了2022年和2023年使用DWCS的59个HH组织的195,915个伤口评估。根据伤口类型计算平均愈合时间,并在两年内进行比较,并对三个月内和更长时间的伤口愈合进行亚组分析。未愈合DUs和pi的改善进一步按初始创面大小进行分类(DUs≤2 cm²,DUs≤2 cm²;≤4cm²,pi≤4cm²)。结果:所有伤口的平均愈合时间从2022年的62.5天显著减少到2023年的38.6天,改善38.2% (p 4 cm²),改善时间减少了35.5天(34.7%,p 2 cm²),改善时间减少了32.6天。结论:持续使用DWCS可显著缩短愈合时间并改善伤口面积缩小,强调其在HH环境中提高伤口护理结果的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of digital wound care solution on healing time: A descriptive study in home health settings.

Background: Chronic wounds pose significant challenges in home healthcare (HH) due to prolonged healing times and high costs. Digital wound care solutions (DWCS) have shown potential for improving healing efficiency. This study evaluated the impact of continuous DWCS use on healing times at HH organizations and explored area reduction in non-healed yet improved pressure injuries (PIs) and diabetic ulcers (DUs).

Methods: This descriptive study analyzed 195,915 wound assessments from 59 HH organizations using DWCS in 2022 and 2023. Average healing time was calculated by wound type and compared across the two years, with subgroup analyses for wounds healing within three months versus longer. Improvements in non-healed DUs and PIs were further categorized by initial wound size (≤2 cm², >2 cm² for DUs; ≤4 cm², >4 cm² for PIs).

Results: Average healing time for all wounds decreased significantly from 62.5 days in 2022 to 38.6 days in 2023, a 38.2% improvement (p < 0.001). DU and PIs showed reductions of 30.8 and 29.3 days, respectively. The proportion of wounds healing within three months rose by 8.9%, with decreased average healing times within this period. For wounds requiring over three months, the average time saved was 57.6 days (8.2 weeks; P = 0.014), representing a 27% improvement. Non-healed but improving PIs showed increase in area reduction from 5.2 cm² to 17.7 cm², with a 25.4% faster time to reduction. Larger PIs (>4 cm²) showed greater reductions, with time to improvement decreasing by 35.5 days (34.7%, p < 0.001). DUs also improved, with area reduction increasing from 4.8 cm² to 15.3 cm² and a 23.8% faster reduction time, while larger DUs (>2 cm²) saw a 32.6-day decrease in time to improvement.

Conclusion: Continuous DWCS use significantly reduces healing times and improves wound area reduction, underscoring its effectiveness in enhancing wound care outcomes in HH settings.

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