多学组分层管理模式在会阴伤口护理中的实施  

Implementation of multi-subspecialty-based hierarchical management for perineal wounds

作　　者：叶宁[1] 周春秀[1] 刘婧岩 黄欣欣[1] 侯静静 Ye Ning;Zhou Chunxiu;Liu Jingyan;Huang Xinxin;Hou Jingjing(Department of Obstetrics,Obsterics and Gynecology Hospital Affiliated to Nanjing Medical University,Nanjing 210004,China)

机构地区：[1]南京医科大学附属妇产医院/南京市妇幼保健院产科,江苏南京210004

出　　处：《护理学杂志》2022年第4期5-8,共4页Journal of Nursing Science

摘　　要：目的探讨多学组分层管理模式在会阴伤口护理中的实施效果。方法采用历史对照设计,将2018年6月至2019年8月就诊的33例纳入对照组,2019年9月至2021年1月就诊的31例纳入观察组。对照组给予会阴伤口常规处理方法,观察组采用多学组分层管理模式进行会阴伤口的护理跟踪和管理。比较两组治疗效果。结果观察组伤口愈合时间显著短于对照组,就医成本(诊疗费、交通费、就诊次数)显著低于对照组,满意度显著高于对照组(P<0.05,P<0.01)。结论采用多学组分层管理模式有利于促进产妇会阴伤口恢复,降低就医成本,提高产妇满意度。Objective To explore the effect of implementing multi-subspecialty-based hierarchical management for perineal wounds.Methods In the historic control design,33 postnatal women with unhealing vaginal wounds from June 2018 through August 2019 were assigned into the control group,who were given routine treatment for perineal wounds.Another 31 women from September 2019 through January 2021 were assigned into the intervention group,who were given multi-subspecialty-based hierarchical management for perineal wounds.Results The wound healing time was significantly shorter,and the cost of seeking medical treatment(medical expenses,transportation expenses and number of visits)were significantly lower,in the intervention group than those in the control group(P<0.05,P<0.01).Conclusion Multi-subspecialty-based hierarchical management boosts healing of perineal wounds,decreases the cost of seeking medical treatment,and enhances satisfaction of postnatal women.

关 键 词：产妇 会阴伤口 愈合不良 多学组合作 分层管理 伤口处理 就医成本 

分 类 号：R473.71[医药卫生—护理学]