专科护士主导下1例左足背浅Ⅱ度~深Ⅱ度烫伤患者的居家护理  

Home care of a patient with a superficialⅡdegree to deepⅡdegree burn on the left dorsum foot under the guidance of specialist nurses

作　　者：杨红芳 王巧娜 黄秋环[1] 农明 陈志英 徐朝艳 YANG Hongfang;WANG Qiaona;HUANG Qiuhuan;NONG Ming;CHEN Zhiying;XU Chaoyan(Department of Nursing,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China;"Internet+Nursing Service"Office,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China;Department of Critical Care Medicine,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China;Department of Gastrointestinal Surgery,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China)

机构地区：[1]右江民族医学院附属医院护理部,广西百色533000 [2]右江民族医学院附属医院“互联网+护理服务”办公室,广西百色533000 [3]右江民族医学院附属医院重症医学科,广西百色533000 [4]右江民族医学院附属医院胃肠外科,广西百色533000

出　　处：《中国当代医药》2024年第3期29-32,43,共5页China Modern Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-L20220878);广西高等教育本科教学改革工程立项项目(2020JGA275);右江民族医学院附属医院高层次人才科研项目(R20196344);广西壮族自治区百色市科学研究与技术开发项目(百科20213217)。

摘　　要：本文总结1例左足背浅Ⅱ度~深Ⅱ度热水烫伤患者的上门居家护理效果。专科护士定期提供上门换药,动态评估与分析创面情况,运用伤口床准备理论的TIME原则,联合应用湿润烧伤膏、莫匹罗星软膏、重组牛碱性成纤维生长因子及藻酸盐片,同时选择适宜的敷料,最终使伤口创面在79 d内完全愈合。该案例通过使用“互联网+护理服务”居家护理服务,发挥专科护士在相应领域的专科技术、体现专科护理特色的同时,解决患者就医路途长、排队时间久、患者行动不便等问题。This article summarizes the home nursing effect of a patient with left dorsum of foot scalded by hot water of shallowⅡdegree to deepⅡdegree.Specialist nurses regularly provided on-site dressing changes,dynamic assessment and analysis of wound conditions,and combined application of Moisture Exposed Burn Ointment,Mupirocin Ointment,Recombinant Bovine Basic Fibroblast Growth Factor and Alginate Tablets according to the TIME principle of wound bed preparation theory.At the same time,appropriate dressings were selected.The wounds were finally completely healed within 79 days.The use of"Internet+nursing service"home nursing service gives play to the specialist technology of specialist nurses in the corresponding field,reflects the characteristics of specialist nursing,and solves the problems such as long journey to see a doctor,long queuing time,or poor mobility.

关 键 词：烧烫伤 居家护理 联合用药 创面愈合 专科护士 多学科合作 

分 类 号：R644[医药卫生—外科学]