以造口治疗师为主导的多学科诊疗模式在慢性创面诊疗中的应用  

Application of multi-disciplinary team model led by enterostomal therapist in the diagnosis and treatment of chronic wounds

作　　者：石玉兰 余静雅 向利娟 陈城 李璐 戴燕[1] 赵淑珍 SHI Yulan;YU Jingya;XIANG Lijuan;CHEN Cheng;LI Lu;DAI Yan;ZHAO Shuzhen(Outpatient Department,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院门诊部/四川大学华西护理学院,成都610041

出　　处：《华西医学》2024年第1期17-21,共5页West China Medical Journal

基　　金：四川大学华西护理学科发展专项基金(HXHL19006)。

摘　　要：目的探讨以造口治疗师为主导的多学科诊疗(multi-disciplinary team,MDT)模式在慢性创面诊疗中的临床实践效果。方法回顾性纳入2020年1月—2022年12月经四川大学华西医院伤口治疗中心慢性创面MDT团队诊疗的三类亚专业患者,包括糖尿病足MDT、免疫性溃疡MDT和其他难愈性创面MDT,分析患者的临床资料、愈合率、愈合时长和患者满意率。结果共纳入患者176例,其中糖尿病足103例、免疫性溃疡31例、其他难愈性创面42例。愈合率分别为糖尿病足MDT患者71.84%,免疫性溃疡MDT患者74.19%,其他难愈性创面MDT患者78.57%。平均愈合时长分别为糖尿病足患者18.10周,免疫性溃疡患者19.69周,其他难愈性创面患者20.53周。三类亚专业组患者的满意率均较高(>95%)。结论以造口治疗师为主导的MDT模式能够为疑难复杂慢性创面患者提供全面的治疗方案,改善慢性创面的治疗结局,该模式值得在慢性创面的临床诊疗中进一步推广应用。Objective To explore the clinical practice effects of multi-disciplinary team(MDT)model led by enterostomal therapist in the diagnosis and treatment of chronic wounds.Methods Three types of subspecialty patients diagnosed and treated by the MDT team for chronic wounds in the Wound Care Center of West China Hospital of Sichuan University between January 2020 and December 2022,including MDT for diabetes feet,MDT for immune ulcer and MDT for other refractory wounds,were retrospectively included.The clinical data,healing rate,healing time,and satisfaction rate of patients were analyzed.Results A total of 176 patients were included,including 103 cases of diabetes foot,31 cases of immune ulcer,and 42 cases of other refractory wounds.The healing rate was 71.84%in patients with MDT of diabetes foot,74.19%in patients with MDT of immune ulcer and 78.57%in patients with MDT of other refractory wound.The average healing time was 18.10 weeks for patients with diabetes foot,19.69 weeks for patients with immune ulcer,and 20.53 weeks for patients with other refractory wounds.The satisfaction rates of patients in the three groups were relatively high(>95%).Conclusion The MDT model led by enterostomal therapist can provide comprehensive treatment plans for difficult and complex chronic wound patients,improve the treatment outcomes of chronic wounds,and is worthy of further promotion and application in the clinical diagnosis and treatment of chronic wounds.

关 键 词：造口治疗师 多学科诊疗 慢性创面 疗效 

分 类 号：R641[医药卫生—外科学]