护理学  >> Vol. 4 No. 2 (April 2015)

慢性伤口综合护理模式应用于改善伤口相关性疼痛的临床研究
Clinical Study on the Application of Comprehensive Nursing Mode for Chronic Wound Care to Reduce Wound-Related Pain

DOI: 10.12677/NS.2015.42005, PDF, , XML, 下载: 2,248  浏览: 8,146  国家科技经费支持

作者: 吴 玲, 范英华, 张莉莉, 周 芳, 周少婧, 应 红, 王 芳, 李 剑:南京大学医学院附属鼓楼医院,江苏 南京

关键词: 伤口相关性疼痛综合护理模式伤口护理Wound-Related Pain Comprehensive Nursing Mode Wound Care

摘要: 目的:评价慢性伤口综合护理模式的减痛促愈效果。方法:对伤口护理中心就诊的200例下肢静脉溃疡患者进行观察分析。2014年2月至2014年8月共100例为观察组,采用本研究制定的慢性伤口综合护理模式进行干预;2013年5月至2013年12月共100例为对照组,按照伤口护理常规实施护理。分别于就诊第0、4、6周观察两组患者疼痛评分及伤口愈合率。结果:两组患者疼痛评分及伤口愈合率差异有统计学意义。结论:慢性伤口综合护理模式的应用可有效改善下肢静脉溃疡患者疼痛,促进伤口愈合,以期能为临床相关医护人员的实践提供指导与借鉴。
Abstract: Objective: To evaluate the effect of comprehensive nursing mode on pain reduction and wound healing. Methods: The comprehensive nursing mode was used on patients in study group; the rou-tine nursing mode was used on patients in control group. Results: Pain score and wound healing rate were significantly different between the two groups. Conclusions: Application of comprehensive nursing mode can effectively reduce wound-related pain and promote wound healing in patients with lower extremity venous ulcer.

文章引用: 吴玲, 范英华, 张莉莉, 周芳, 周少婧, 应红, 王芳, 李剑. 慢性伤口综合护理模式应用于改善伤口相关性疼痛的临床研究[J]. 护理学, 2015, 4(2): 23-28. http://dx.doi.org/10.12677/NS.2015.42005

参考文献

[1] Woo, K.Y. and Sibbald, R.G. (2009) The improvement of wound-associated pain and healing trajectory with a com-prehensive foot and leg ulcer care model. Journal of Wound Ostomy & Continence Nursing, 36, 184-191.
[2] Meaume, S., Teot, L., Lazareth, I., et al. (2004) Importance of pain reduction through dressing selection in routine wound management: The MAPP study. Journal of Wound Care, 13, 409.
[3] Reddy, M., Keast, D., Fowler, E., et al. (2003) Pain in pressure ulcers. Ostomy/Wound Management, 49, 30-35.
[4] Ryan, S., Eager, C. and Sibbald, R.G. (2003) Venous leg ulcer pain. Ostomy/Wound Management, 49, 16-23.
[5] Ferris, F.D., Al Khateib, A.A., Fromantin, I., et al. (2007) Palliative wound care: managing chronic wounds across life’s continuum: A consensus statement from the international palliative wound care initiative. Journal of Palliative Medicine, 10, 37-39.
[6] Ribu, L., Rustøen, T., Birkeland, K., et al. (2006) The prevalence and occurrence of diabetic foot ulcer pain and its impact on health-related quality of life. The Journal of Pain, 7, 290-299.
[7] Freedman, G., Entero, H. and Brem, H. (2004) Practice treatment of pain in patients with chronic wounds: Pathogenesis-guided management. American Journal of Surgery, 188, 31-35.
[8] Nemeth, K.A., Harrison, M.B., Craham, I.D., et al. (2004) Understanding venous leg ulcer pain: Results of a longitudinal study. Ostomy Wound Management, 50, 34-36.
[9] Herber, O.R., Schnepp, W. and Rieger, M.A. (2007) A systematic review on the impact of leg ulceration on patients’ quality of life. Health and Quality of Life Outcomes, 5, 44-56.
[10] 赵继军 (2010) 疼痛护理学. 人民军医出版社, 北京, 3-5.
[11] 邱桂连, 林元红 (2008) 2%利多卡因湿敷伤口减轻清创疼痛的观察. 中国现代药物应用, 6, 46-47.
[12] 贾静, 仇晓溪, 吴晓苏 (2010) 造口治疗师在慢性伤口处理过程中疼痛管理探讨. 护理研究, 8, 2217-2219.
[13] Jones, J., Barr, W., Robinson, J. and Carlisle, C. (2006) Depression in patients with chronic venous ulceration. British Journal of Nursing, 15, S17-S23.
[14] Worley, C.A. (2007) It really hurts when I walk! Arterial disease—Differential diagnosis and treatment. Dermatology Nursing, 19, 286-288.
[15] Woo, K., Price, P., Harding, K., et al. (2007) An open randomized crossover investigation assessing perceived pain at dressing change comparing a soft silicone dressing, Mepolex Border, with a adhesive hydrocellular polyurethane dressing, Allevyn Adhesive in subjects with chronic ulcer. European Wound Management Association, Glasgow.
[16] World Union of Wound Healing Societies (WUWHS) (2008) Principles of best practice: Compression in venous leg ulcers. A consensus document, MEP Ltd., London.
[17] Doughty, D.B. (2006) Strategies for minimizing chronic wound pain. Advances in Skin & Wound Care, 19, 82-85.
[18] Weisenseel, P., Kuznetsov, A.V., Molin, S., Ruzicka, T., Berking, C. and Prinz, J.C. (2008) Photodynamic therapy for granuloma annulare: More than a shot in the dark. Dermatology, 217, 329-332.
[19] 吕娟, 宁宁, 叶霞, 廖灯彬, 陈佳丽 (2012) 某院85名伤口治疗护士伤口疼痛认知及管理情况分析. 护理学报, 1, 1-4.
[20] Patel, N.P., Labropoulos, N. and Pappas, P.J. (2006) Current management of venous ulceration. Plastic & Reconstructive Surgery, 117, 254S-260S.