利用补贴运输服务改善了肢体保护计划中的伤口愈合和护理协调
Colin M Cleary1, Elizabeth Aitcheson2, Darren Courtright3
1Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN.
Annals of vascular surgery
|October 17, 2025
概括
运输服务 (TS) 能够为患有下肢问题的患者提供可比的伤口愈合,无论个人交通工具是否可用. 这些服务改善了弱势患者的治疗结果,防止了伤口回归,并加强了护理协调.
科学领域:
- 血管外科 血管外科
- 肢体保护 肢体保护
- 医疗保健服务研究 医疗服务研究
背景情况:
- 下肢伤口护理对于肢体的保存至关重要.
- 获得交通工具可能会成为一贯的医疗预约的障碍.
- 评估运输服务 (TS) 对患者结果的影响至关重要.
研究的目的:
- 为了比较伤口愈合率和无截肢生存率.
- 评估使用运输服务 (TS) 的患者与使用个人运输的患者的结果.
- 了解TS在肢体保护计划 (LPP) 中的作用.
主要方法:
- 从2021年6月到2023年2月在LPP提供补贴TS的潜在招生.
- 从2019年1月到2021年5月,倾向性得分匹配以识别类似患者的对照.
- 主要结局:伤口愈合率和没有截肢的生存率.
主要成果:
- 需要TS的患者更有可能来自弱势背景.
- 伤口愈合率 (57.5%对63.3%) 和无截肢生存率 (95.9%对89.8%) 在各组之间相似.
- 亚组分析显示,在那些符合TS条件的人群中,新的发病率和重大截肢率更高.
结论:
- 运输服务为有限的个人交通工具的患者提供了同等的伤口愈合.
- TS改善了伤口愈合和护理协调,防止了弱势群体的回归.
- 像TS这样的干预措施对于改善脆弱患者的下肢结果至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
372
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
372
Peripheral Artery Disease IV: Nursing Management
347
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
347
Peripheral Artery Disease III: Interprofessional Care
237
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
237
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Venous Thrombosis IV: Nursing Management
192
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
192
Phases of Wound Repair
7.8K
Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
7.8K


