医护一体化延续护理模式在慢性伤口病人中的应用  

Application of integrated medical-nursing continuity care model in patients with chronic wounds

作　　者：刘娜[1] 刘洽 安俊红[1] 高凯霞[1] 王娟[1] 张敏锐 白丽[1] 郑若楠[1] 程俊香 LIU Na;LIU Qia;AN Junhong;GAO Kaixia;WANG Juan;ZHANG Minrui;BAI Li;ZHENG Ruonan;CHENG Junxiang(First Hospital of Shanxi Medical University,Shanxi 030001 China;Nursing College of Shanxi Medical University)

机构地区：[1]山西医科大学第一医院,山西030001 [2]山西医科大学护理学院

出　　处：《护理研究》2025年第6期997-1000,共4页Chinese Nursing Research

基　　金：山西医科大学第一医院青年项目,编号:YQ2220。

摘　　要：目的:探讨医护一体化延续护理模式在慢性伤口病人中的应用效果。方法:选取2023年1月—12月山西省某三级甲等医院伤口造口门诊就诊的100例慢性伤口病人为研究对象,采用随机数字表法将病人分为对照组和试验组,每组50例。对照组采用常规延续护理模式进行干预,试验组在对照组基础上采用医护一体化延续护理模式进行干预。比较两组病人伤口愈合时间、伤口愈合情况、疼痛得分、生活质量得分、病人满意度及医疗费用。结果:干预后,试验组伤口愈合时间[(54.46±12.50)d]短于对照组[(64.78±7.95)d],伤口愈合率(94%)高于对照组(80%),疼痛得分[0(0,1)分]低于对照组[2(0,3)分],生活质量得分[(80.84±8.53)分]高于对照组[(74.28±11.05)分],医疗费用[(1824.40±583.66)元]少于对照组[(2893.90±1142.25)元],病人总满意度(98.0%)高于对照组(84.0%),差异均有统计学意义(均P<0.05)。结论:医护一体化延续护理模式能够有效提高慢性伤口病人的伤口愈合效果,降低疼痛,提高病人满意度和生活质量,降低医药费用。Objective:To explore the application effect of integrated medical-nursing continuity care model in patients with chronic wounds.Methods:A total of 100 patients with chronic wounds who visited the wound-stoma outpatient department of a tertiary grade A hospital in Shanxi province were selected as the research subjects from January to December 2023.The patients were divided into a control group and an experimental group by the random number table method,with 50 patients in each group.The control group received routine continuous care intervention,while the experimental group received integrated medical-nursing continuity care for intervention in addition to the control group′s intervention.The wound healing time,wound healing status,pain score,quality of life score,patient satisfaction and medical expenses between two groups of patients were compared.Results:After intervention,the wound healing time of the experimental group[(54.46±12.50)d]was shorter than that of the control group[(64.78±7.95)d],the wound healing rate(94%)was higher than that of the control group(80%),the pain score[0(0,1)points]was lower than that of the control group[2(0,3)points],the quality of life score[(80.84±8.53)points]was higher than that of the control group[(74.28±11.05)points],the medical expenses[(1824.40±583.66)yuan]were lower than those of the control group[(2893.90±1142.25)yuan],and the patient overall satisfaction(98.0%)was higher than that of the control group(84.0%),the differences were statistically significant(all P<0.05).Conclusions:The integrated medical-nursing continuity care model can effectively improve the wound outcomes effect of patients with chronic wounds,reduce pain,enhance patient satisfaction and quality of life,and reduce medical expenses.

关 键 词：医护一体化模式 延续护理 慢性伤口 疼痛 满意度 生活质量 医疗费用 

分 类 号：R473.6[医药卫生—护理学]