拉合伤口法联合伤口湿性愈合护理对伤口愈合的效果观察

目的 探讨拉合伤口法联合伤口湿性愈合护理在伤口造口患者中的效果。方法 选取2020年1月至2022年10月浙江大学医学院附属第二医院临平院区收治的伤口造口患者90例为研究对象,根据随机数字表法分为观察组和对照组,每组45例。对照组患者接受伤口造口一般护理,观察组患者接受拉合伤口法联合伤口湿性愈合护理。比较两组患者干预前后的伤口疼痛程度、舒适度、康复指标、并发症发生状况及患者满意度。结果 干预后两组患者的Price-Henry疼痛评分均低于干预前（P<0.05）,且观察组评分低于对照组（P<0.05）;观察组患者的创面渗出液量、创面渗出物消退时间、伤口愈合时间、总换药次数均低于对照组（P<0.05）;干预后两组的简化舒适状况量表（general comfort questionnaire,GCQ）评分均高于干预前,且观察组的评分高于对照组（P<0.05）;观察组患者的并发症发生率4.44%低于对照组的20.00%（P<0.05）;观察组患者的满意度97.78%,高于对照组的82.22%（P<0.05）。结论 在伤口造口患者中应用拉合伤口法联合伤口湿性愈合对患处进行护理,可减轻换药时的疼痛,提高患者的舒适度,减少并发症,加速患者的伤口愈合。

Observation on the effect of pulling wound method combined with moist wound healing nursing on wound healing

Objective To explore the effect of pulling wound method combined with moist wound healing nursing on patients with wound stoma. Methods A total of 90 patients with wound stoma admitted to Linping District, the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2020 to October 2022 were selected as the research objects. Divided into observation group and control group according to the random number table method, with 45 cases in each group. Patients in control group received general wound stoma nursing, while patients in observation group received pulling wound method combined with moist wound healing nursing. The pain degree and comfort, rehabilitation indicators, complications and patient satisfaction were compared between the two groups before and after the intervention. Results After intervention, the Price-Henry pain scores of the two groups were significantly lower than those before intervention (P<0.05), and the score of observation group was lower than that of control group (P<0.05). The wound exudate volume, wound exudate fading time, wound healing time, and total dressing change times in observation group were significantly lower than those in control group (P<0.05). After intervention, the general comfort questionnaire (GCQ) scores of the two groups were significantly higher than those before intervention, and the GCQ score of observation group was higher than that of control group (P<0.05). The incidence of complications in observation group was 4.44%, which was lower than 20.00% in control group (P<0.05). The satisfaction of patients in observation group was 97.78%, which was higher than 82.22% in control group (P<0.05). Conclusion The application of pulling wound method combined with moist wound healing nursing in the wound stoma patients can reduce the pain during dressing change, improve the comfort of patients, reduce the complications of patients, accelerate the wound healing of patients.