整体与洞:使社区护士能够实施整体伤口护理
Marzieh Moattari1,2, Emily C King1,3, Arlinda Ruco1,4,5,6,7
1VHA Home HealthCare, Toronto, Canada.
Journal of wound care
|October 31, 2023
概括
使用WounDS应用程序,教育和自我评估的质量改进项目显著改善了难以愈合的下肢伤口患者的生活质量 (QoL). 对多学科团队的推也增加了78%.
科学领域:
- 伤口护理管理管理
- 提高医疗保健的质量 改善医疗保健的质量
- 患者报告的结果
背景情况:
- 难以愈合的下肢伤口显著影响患者的生活质量 (QoL).
- 有效的管理需要多学科的团队参与.
- 目前的护理途径可能无法充分解决整体患者需求.
研究的目的:
- 在具有具有挑战性下肢伤口的患者中增强与伤口相关的QOL.
- 增加对专门的多学科伤口护理团队的转诊.
- 评估一种新型干预方案对患者治疗结果和护理实践的影响.
主要方法:
- 一个质量改进项目,利用一个测试前测试后的干预设计.
- 实施多方面的干预,包括WounDS应用程序,伤口护理教育和客户QOL自我评估.
- 通过卡迪夫伤口影响表测量QOL并通过图表审计跟踪转诊;通过采访探索护士的经验.
主要成果:
- 在客户的QOL评分中观察到的显著改善:福祉 (27%),身体症状/日常生活 (38%) 和整体QOL (54%).
- 在干预后,多学科团队的转诊量增加了78%.
- 护士报告说,干预措施促进了对伤口护理的整体方法.
结论:
- 该干预方案成功改善了难以愈合的伤口患者的质量生活,并促进了整体护理文化.
- WounDS应用程序,教育和自我评估是提高伤口护理的有效策略.
- 可持续性战略包括支持团体和针对护士需求的教育;建议进一步研究.
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