关键词: 慢性创面；多学科诊疗；伤口护理门诊；效果评价

Abstract: Objective: To establish a multidisciplinary diagnosis and treatment mode for chronic wounds and explore its application in the wound care clinic. Methods: In accordance with the developing trend of special nursing care in outpatient departments, a multidisciplinary diagnosis and treatment team with an optimized structure for chronic wounds was established, after which a reasonable assignment of responsibilities of each staff was figured out together with explicit paths of diagnosis and treatment of wounds and clear-cut areas for diagnosis and treatment. Thus the multidisciplinary diagnosis and treatment mode for chronic wounds which took place mainly in the wound care clinic was formulated to provide scientific diagnosis and treatment for patients with chronic wounds. Results: After normal implementation of the mode of multidisciplinary diagnosis and treatment of chronic wounds, compared with 2016, the number of medical consultation increased by 39.59% in 2017 and the cure rate also increased (P<0.05). The satisfaction degree of patients and nurses both increased significantly (P<0.05). The number of papers published, patents obtained, and new technology awards acquired by nurses working in the wound care clinic have increased significantly. More doctors and nurses from other hospitals in China came here for further study, whose number increased by 63.33%, and were granted a variety of honors and professional qualifications. Conclusion: The practice of the mode of multidisciplinary diagnosis and treatment of chronic wounds has not merely improved wound treatment but also the quality of special nursing care. In addition, it has promoted the cooperation and communication between doctors and nurses, and will contribute to establishment of an innovative development mode of special nursing services in outpatient departments as well as the development of nursing discipline.

Key words: chronic wounds; multidisciplinary diagnosis and treatment; wound care clinics; effect evaluation