Clinical application effect analysis of integrated medical care management model in chronic wound nursing
医护一体化管理模式在慢性伤口护理中的临床应用效果分析

摘要

目的 探讨分析在慢性伤口护理中实施医护一体化管理模式的临床效果。方法 此次研究选取74例慢性伤口患者作为研究对象，均是我院在2023年1月至12月期间收治。将74例患者随机分配为2组，即对照组、观察组，每组37例，并分别对其实施常规护理、医护一体化管理，对比两组的实际护理效果。结果 从护理满意度的评估结果看，观察组、对照组护理满意度分别为94.59%、83.78%，观察组护理满意度明显更高（P＜0.05）；其次，在炎症指标方面，护理干预后观察组的IL-6、IL-8及TNF-α均低于对照组（P＜0.05）；再次，经过对两组患者心理状态的评估，确认护理后观察组心理状态更优（P＜0.05）；最后，观察组的伤口愈合时间及住院时间也较优（P＜0.05）。结论 将医护一体化管理模式用于慢性伤口护理中有利于减轻炎症反应、缓解心理状态，同时可促进伤口愈合、提高护理满意度。

Abstract

Objective To explore and analyze the clinical effect of the integrated management model in chronic wound nursing.
Methods 74 patients with chronic wounds were selected as subjects in this study, all of whom were admitted to our hospital from January to December 2023. 74 patients were randomly assigned to 2 groups, namely control group and observation group, with 37 cases in each group, and routine nursing and integrated medical management were respectively implemented to compare the actual nursing effects of the two groups.
Results The nursing satisfaction of the observation group and the control group was 94.59% and 83.78%, respectively, and the nursing satisfaction of the observation group was significantly higher (P < 0.05). Secondly, the levels of IL-6, IL-8 and TNF-α in the observation group were lower than those in the control group after nursing intervention (P < 0.05). Thirdly, after the evaluation of the psychological state of the two groups of patients, it was confirmed that the psychological state of the observation group was better after nursing (P < 0.05); Finally, the wound healing time and hospital stay in the observation group were also better (P < 0.05).
Conclusion   The application of integrated nursing management mode in chronic wound nursing is beneficial to reduce inflammation, relieve psychological state, promote wound healing and improve nursing satisfaction.