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在急性护理环境中治疗慢性伤口:被遗忘的诊断
Emily Sue Greenstein1, William Falone2, Teresa Patterson3
1Essentia Health, Fargo, ND.
医院可以显著影响慢性伤口愈合,减少患者再入院和医疗保健成本. 有效的住院伤口护理计划可以改善患者的治疗结果,并简化护理网络.
科学领域:
- 伤口护理管理管理
- 医疗保健系统分析 医疗保健系统分析
- 患者研究成果研究结果
背景情况:
- 慢性伤口,包括下肢,糖尿病足和压力损伤,对医疗保健系统造成了重大和日益增长的负担.
- 预计慢性伤口的患病率将增加,原因是人口老龄化和糖尿病,肥胖和COVID-19的患病率上升.
- 这些伤口需要长时间的愈合时间,通常是几个月或几年,影响门诊和住院护理机构.
研究的目的:
- 为了检查慢性,难以愈合的伤口对急性护理设施的影响.
- 确定短期住院干预如何影响慢性伤口的长期愈合轨迹.
主要方法:
- 在2022年3月召集了一个由7名慢性伤口评估和治疗专家组成的专家小组,在急性护理机构内进行治疗.
- 促进了关于医院在慢性伤口综合愈合途径中的作用的讨论.
主要成果:
- 慢性伤口为医院带来了大量的隐性成本,包括增加病床占用率,护理工作量,并发症导致延长住院和再入院.
- 成功的住院伤口计划有助于早期诊断,通过简化协议增强病床护理,提供明确的患者教育和带选择,并通过多学科的出院规划确保护理的连续性.
- 有效的计划可以降低患者再入院的风险.
结论:
- 医院在治疗慢性伤口方面发挥着关键作用,减轻其对个体设施的影响.
- 实施强大的住院伤口护理策略可以减少更广泛的医疗保健网络的整体负担.
- 优化基于医院的伤口管理有助于改善患者的治疗结果和更有效地利用资源.
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