以护士为主导的手术伤口管理团队的构建与运行  

Running a nurse-led surgical wound management team

作　　者：周海清 王明雪[1] 江婵玉 谢靖[1] 娄连玉 高肖 褚秀美[1] Zhou Haiqing;Wang Mingxue;Jiang Chanyu;Xie Jing;Lou Lianyu;Gao Xiao;Chu Xiumei(Department of Thoracic Surgery,Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院胸外科,山东青岛266000

出　　处：《护理学杂志》2020年第21期8-11,共4页Journal of Nursing Science

摘　　要：目的探讨以护士为主导的手术伤口管理团队在胸外科患者伤口管理中的作用。方法将320例胸外科手术患者按照入院时间分为对照组与观察组各160例。对照组给予手术伤口常规管理。观察组构建以护士为主导的手术伤口管理团队,制定工作职责及目标,优化临床伤口管理流程,形成以患者为中心的伤口管理模式。比较两组患者手术伤口愈合情况、患者恢复情况及患者满意度等指标。结果观察组患者局部伤口症状体征评分、伤口愈合时间、引流管带管时间、住院时间、伤口并发症发生率及焦虑评分显著优于对照组,对护理满意度显著高于对照组(P<0.05,P<0.01)。结论对胸外科患者实施以护士为主导的手术伤口管理模式,有利于促进患者伤口愈合,提高患者满意度和护理服务质量。Objective To explore the role of a nurse-led surgical wound management team in wound healing of thoracic surgical patients.Methods A total of 320 patients undergoing thoracic surgery were divided into a control group and an intervention group according to admission time, with 160 in each group. The control group was given routine management of surgical wounds, while the intervention group received patient-centered wound care provided by a nurse-led wound management team that developed work responsibilities and goals and optimized clinic work processes. Surgical wound healing, recovery, and satisfaction of patients were compared between the two groups.Results The intervention group showed better outcomes in local wound symptoms, wound hea-ling time, catheter indwelling time, length of hospital stay,incidence of would complications and anxiety compared with the control group(P<0.05,P<0.01). Patient satisfaction was significantly higher in the intervention group than that in the control group(P<0.01).Conclusion Nurse-led surgical wound management program can facilitate wound healing in thoracic surgical patients, and enhance patient satisfaction and quality of nursing care.

关 键 词：胸外科手术 伤口管理 护士 管理团队 伤口愈合时间 护理 

分 类 号：R473.6[医药卫生—护理学]