基于TIME–CDST的慢性伤口管理策略在骨科慢性难愈性创面护理中的效果评估

彭玲玲; 罗猛; 吴俞萱; 江伟; 郝然

基于TIME–CDST的慢性伤口管理策略在骨科慢性难愈性创面护理中的效果评估

Effect of chronic wound management strategy based on TIME-CDST in the nursing of chronic refractory wounds in department of orthopedics

摘要

摘要:
目的： 分析基于TIME–临床决策支持工具（CDST）的慢性伤口管理策略在骨科慢性难愈性创面护理中的应用效果。
方法： 选取2024年6月至2025年3月收治的102例骨科慢性难愈性创伤病人为研究对象，根据时间段进行分组，将2024年6月至2024年10月收治的病人纳入51例，设为对照组；将2024年11月至2025年3月收治的病人纳入51例，设为观察组。对照组病人予以湿性敷料，观察组病人实施基于TIME–CDST的慢性伤口管理策略。比较2组病人创面完全愈合时间、住院时间、换药次数差异，比较2组病人干预前、干预1个月后创面愈合情况Bates–Jensen伤口评价工具（BWAT）、图像伤口评价工具（PWAT）、负面情绪成人无能为力感量表（PAT）、生活质量Cardiff伤口影响量表（CWIS）水平差异。
结果： 研究中途因各种原因脱落8例病人，最终纳入病人为对照组45例和观察组49例。观察组病人创面完全愈合时间、住院时间、换药次数均低于对照组（P均＜0.05）；干预1个月后，2组病人BWAT、PWAT、PAT得分均较干预前下降，且观察组各指标评分均低于对照组（P均＜0.05）；干预1个月后，2组病人CWIS得分均较干预前上升，且观察组高于对照组（P均＜0.05）。
结论： 基于TIME–CDST的慢性伤口管理策略有助于骨科慢性难愈性创面病人创面愈合加速，且能减少病人负面情绪，改善生活质量。

Abstract:
Objective To analyze the application effect of chronic wound management strategy based on TIME-Clinical Decision Support Tool (CDST) in the nursing of chronic refractory wounds in department of orthopedics.
Methods A total of 102 patients with chronic refractory orthopedic trauma admitted from June 2024 to March 2025 were selected as the research objects. According to the time period, 51 patients admitted from June 2024 to October 2024 were included and set as the control group. A total of 51 patients admitted from November 2024 to March 2025 were included and set as the observation group. The control group were given wet dressings, while the observation group were given chronic wound management strategies based on TIME-CDST. The differences in the complete wound healing time, hospital stay and dressing change frequency between two groups were compared. The differences in the levels of wound healingBats-Jensen Wound Assessment Tool (BWAT), Image Wound Assessment Tool (PWAT), negative emotionAdult Sense of Powerlessness Scale (PAT) and quality of lifeCardiff Wound Impact Scale (CWIS) between two groups were compared before the intervention and after 1 month of intervention.
Results During the study, 8 patients dropped out for various reasons. Eventually, 45 patients were included in the control group, and 49 cases were included in the observation group. The complete wound healing time, hospital stay and dressing change frequency in the observation group were lower than those in control group (all P ＜ 0.05). After 1 month of intervention, the scores of BWAT, PWAT and PAT in two groups decreased compared with those before the intervention, and the scores of each index in the observation group were lower than those in control group (all P ＜ 0.05). After 1 month of intervention, the CWIS scores of two groups increased compared with those before the intervention, and the scores of the observation group were higher than those of control group (all P ＜ 0.05).
Conclusions The chronic wound management strategy based on TIME-CDST helps accelerate wound healing in patients with chronic refractory orthopedic wounds, and can reduce patients' negative emotions and improve their quality of life.

HTML全文

参考文献(17)

施引文献

资源附件(0)