银离子敷料联合精细护理在难愈性伤口治疗中对创面愈合的作用分析

Analysis of the Effect of Silver Ion Dressing Combined with Fine Nursing on Wound Healing in the Treatment of Refractory Wounds

摘要: 目的：探讨在难愈性伤口治疗中应用银离子敷料联合精细护理对创面愈合的作用。方法：研究时间为2022年1月~2023年1月，研究对象为本院所收治的难愈性伤口患者120例，并按照数字随机表法分为常规组与联合组两组，每组60例。常规组患者采取无菌纱布敷料 + 常规护理模式展开护理，联合组患者采取银离子敷料联合精细护理展开护理，分别对比两组患者的临床指标、焦虑和抑郁程度、肉芽形态、不良反应发生率以及护理满意度。结果：展开相应护理后，联合组患者的住院时间、愈合时间均短于常规组患者，且换药次数(8.94 ± 1.42次)少于常规组患者(14.32 ± 1.58次)，差异具有统计学意义(P < 0.05)；联合组患者的焦虑和抑郁程度均低于常规组患者，差异具有统计学意义(P < 0.05)；联合组患者的肉芽形态(0.87 ± 0.12分)好于常规组患者(1.53 ± 0.23分)，差异具有统计学意义(P < 0.05)；联合组患者的不良反应发生率(1.66%)低于常规组患者(13.33%)，差异具有统计学意义(P < 0.05)；联合组患者的护理满意度(100.00%)高于常规组患者(81.66%)，差异具有统计学意义(P < 0.05)。结论：在对于难愈性伤口的治疗中，运用银离子敷料联合精细护理的方式可以有效缩短患者的住院时间，帮助患者的创面肉芽更好成长，使得创面能更快恢复，并且患者的不良情绪减少，避免焦虑、抑郁等情况的出现，大大提高了疾病的预后效果，减少不良反应发生的可能，患者对本院治疗工作的满意度也大大提高，临床运用效果显著，可推广、运用。

Abstract: Objective: To explore the effect of silver ion dressing combined with fine nursing on wound healing in the treatment of refractory wounds. Method: The study was conducted from January 2022 to January 2023, with 120 patients with refractory wounds admitted to our hospital. They were ran-domly divided into a conventional group and a combination group using a digital randomization ta-ble, with 60 patients in each group. The conventional group patients were treated with sterile gauze dressing and conventional nursing mode, while the combined group patients were treated with sil-ver ion dressing combined with fine nursing mode. Clinical indicators, anxiety and depression levels, granulation morphology, incidence of adverse reactions, and nursing satisfaction were compared between the two groups of patients. Result: After implementing corresponding care, the hospitali-zation time and healing time of patients in the combined group were shorter than those in the con-ventional group, and the number of dressing changes (8.94 ± 1.42 times) was less than that of pa-tients in the conventional group (14.32 ± 1.58 times), with a statistically significant difference (P < 0.05); The anxiety and depression levels of patients in the combined group were lower than those in the conventional group, and the difference was statistically significant (P < 0.05); The granulation morphology of the combined group patients (0.87 ± 0.12 points) was better than that of the conven-tional group patients (1.53 ± 0.23 points), and the difference was statistically significant (P < 0.05); The incidence of adverse reactions in patients in the combined group (1.66%) was lower than that in patients in the conventional group (13.33%), and the difference was statistically significant (P < 0.05); The nursing satisfaction of patients in the combined group (100.00%) was higher than that of patients in the conventional group (81.66%), and the difference was statistically significant (P < 0.05). Conclusion: In the treatment of refractory wounds, the use of silver ion dressings combined with meticulous care can effectively shorten the patient’s hospitalization time, help the patient’s wound granulation grow better, enable faster wound recovery, and reduce the patient’s negative emotions, avoid anxiety, depression, and other situations, greatly improve the prognosis of the dis-ease and reduce the possibility of adverse reactions. The satisfaction of patients with the treatment work in our hospital has also greatly improved, and the clinical application effect is significant, which can be promoted and applied.