湿性敷料在老年糖尿病足患者换药护理中 对其伤口愈合的影响  

Influence of Wet Dressing on Wound Healing in Elderly Diabetic Foot Patients

作　　者：陈秋香[1] 曾燕云[2] CHEN Qiuxiang;ZENG Yanyun(Department of Rehabilitation and Geriatrics,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361004 China;Anesthesia Operating Room,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)

机构地区：[1]厦门大学附属中山医院康复老年科,福建厦门361004 [2]厦门大学附属第一医院麻醉手术室,福建厦门361003

出　　处：《糖尿病新世界》2022年第4期121-124,共4页Diabetes New World Magazine

摘　　要：目的探究湿性敷料在老年糖尿病足患者换药护理中对其伤口愈合的影响。方法选取2018年5月—2021年5月期间在该科室接受治疗的老年糖尿病足患者80例为研究对象,按照其入院时间先后顺序其进行分组。2018年5月—2019年12月入院患者为甲组,采用传统换药方法,2020年1月—2021年5月入院患者为乙组,采用湿性敷料换药方法护理。对比观察两组疗效、每次换药时间、换药次数、住院时间、创面愈合时间及创面愈合速度。结果乙组总有效率为95.00%,高于甲组的77.50%,差异有统计学意义(P<0.05);乙组每次换药时间、住院时间、创面愈合时间短于甲组,换药次数少于甲组,差异有统计学意义(P<0.05);甲乙两组在第7天时的创面愈合速度对比,差异无统计学意义(P>0.05);乙组在第14、21、28天的创面愈合速度快于甲组,差异有统计学意义(P<0.05)。结论临床对老年糖尿病足患者采用湿性敷料换药方法护理,能有效促进患者病情康复,加快患者创面伤口愈合速度,提高临床护理效果,降低患者经济负担,值得广泛推广。Objective To explore the effect of moist dressing on wound healing in elderly diabetic foot patients during dressing change nursing.Methods A total of 80 elderly diabetic foot patients who were treated in the department from May 2018 to May 2021 were selected as the research objects.The patients were grouped according to the time of admission,and the patients admitted to the hospital from May 2018 to December 2019 were group A,and the traditional dressing method was adopted.Patients admitted to the hospital from January 2020 to May 2021 belonged to group B,and were nursed by wet dressing method.The curative effect,time of each dressing change,number of dressing changes,hospital stay,wound healing time and wound healing speed were compared and observed between the two groups.Results The total effective rate in group B was 95.00%,which was higher than 77.50%in group A,and the difference was statistically significant(P<0.05).The time of each dressing change,hospital stay,and wound healing time in group B were shorter than those in group A,and the number of dressing changes was less than that in group A,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the wound healing speed between the two groups on the 7th day,the difference was not statistically significant(P>0.05).The wound healing speed of group B on the 14th,21st,and 28th day was faster than that of group A,and the difference was statistically significant(P<0.05).Conclusion Clinical nursing of elderly diabetic foot patients with wet dressing dressing method can effectively promote the recovery of the patient's condition,accelerate the wound healing speed of the patient,improve the clinical nursing effect,and reduce the economic burden of the patient,which is worthy of widespread promotion.

关 键 词：湿性敷料 糖尿病足 换药护理 伤口愈合 

分 类 号：R473[医药卫生—护理学]