主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 伤口个案管理专题 • 上一篇    下一篇

1例不可分期压力性损伤患者的延续护理

肖文霞 刘艳 朱开梅 杨淑红 张银萍 李珍珍 朱郭婷   

  1. 武汉大学人民医院伤口造口门诊,430060 武汉市(肖文霞,杨淑红);神经内科ICU(刘艳,张银萍,李珍珍);胃肠外科(朱开梅);神经外3科(朱郭婷)
  • 出版日期:2017-12-25 发布日期:2017-12-25

Continuity care of an un-stageable pressure injury patient: a case report

  • Online:2017-12-25 Published:2017-12-25

摘要: 目的:总结1例不可分期压力性损伤患者的延续性护理体会。方法:按照延续性护理服务流程,通过综合评估将该患者纳入延续性护理服务中,开展居家护理。主要包括全面评估患者的整体情况和伤口局部情况,分析影响伤口愈合的因素,以患者为中心制定护理方案,运用湿性愈合理念对伤口进行有效的管理,强调采用知识、态度、行为(KAP)模式进行基于主要照顾者的健康教育,提高家庭自我照护能力。结果:该患者家庭自我照护能力得到提高,营养状况得到改善,压力性损伤伤口痊愈。结论:开展延续性伤口护理,使患者受益。压力性损伤伤口的愈合关键在于积极正确的创面处理、家庭自我护理能力的提高、患者营养状况的改善和有效的康复训练,另外人文关怀与多学科合作也不可忽略。

Abstract: Objective: The purpose of this case report is to present experience of continuity care of an un-stageable pressure injury patient. Methods: The patient received a comprehensive assessment of overall condition and the wound. The factors that would influence wound healing were identified, and the patient-centered nursing program was developed based on moist wound healing theory. Caregivers’ family self-care skills were improved by health education, focused on knowledge, attitude and practice (KAP). Results: The patient’s nutritional status and family self-care ability were improved, and pressure injury healed. Conclusion: The continuity of wound care benefits patients. Nurses should take proper strategies to improve wound healing and nutrition, increase family self-care ability.