在加拿大的家庭医生中,在办公室内皮肤手术后的伤口护理实践
Michael Sander1, Bruce Rebner2, Robyn Wiens2
1Department of Medicine, University of Calgary, Canada.
Journal of wound care
|April 29, 2024
概括
几乎一半的加拿大家庭医生不建议皮肤外科手术患者使用湿伤愈,尽管有证据支持更快的愈合. 这项研究强调了各种伤口护理实践和需要一致的建议.
科学领域:
- 皮肤病学 皮肤病学
- 家庭医学 家庭医学 家庭医学
- 手术伤口护理 手术伤口护理
背景情况:
- 加拿大的家庭医生经常在办公室内进行皮肤手术.
- 有证据支持湿伤愈可以改善结果,包括更快的愈合和更好的美容.
- 家庭医生当前的术后伤口护理实践没有得到充分的记录.
研究的目的:
- 调查加拿大家庭医生在办公室内皮肤手术后的术后伤口护理实践.
- 评估采用潮湿与干燥伤口愈合建议的情况.
- 为了确定额外的伤口护理实践的变化.
主要方法:
- 一项在线调查分发给加拿大家庭医生.
- 该调查收集了关于伤口愈合建议 (湿或干) 的数据,这些建议的原因以及其他术后护理实践.
- 对收集的数据进行了统计分析.
主要成果:
- 共有573名家庭医生完成了调查.
- 49.2%的人建议湿伤愈,而50.8%的人建议干伤愈.
- 前期培训是两个建议 (63.1%湿,65.3%干) 最常被引用的原因. 关于包裹,清洁和其他方面的做法有很大差异.
结论:
- 很大一部分加拿大家庭医生不建议湿伤愈,这与已有证据相反.
- 在这些医生中,皮肤手术后的术后伤口护理实践存在相当大的多样性.
- 对于进行皮肤外科手术的家庭医生来说,需要基于证据的一致的伤口护理指南.
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