封闭负压吸引及护理干预对慢性难愈性创面的影响

目的:探讨封闭负压吸引(VSD)技术及其相应的护理干预措施对慢性难愈性创面的影响。方法:60例慢性难愈性创面患者随机分为实验组和对照组,各30例,实验组使用VSD技术进行治疗并给予相应的护理干预,对照组常规换药治疗及护理措施;比较两组患者治疗前(T1)、治疗后3天(T2),治疗后7天(T3)的心理焦虑情况,更换床单次数、换药次数,创面愈合率等指标。结果:实验组治疗后7天患者的心理状态、创面愈合率、感染控制、住院时间及费用等方面均优于对照组,差异均有统计学意义(P0.05)。结论:封闭负压吸引技术在慢性难愈性创面治疗过程中,可以减轻患者的痛苦及焦虑状况,缩短病程,减轻经济负担,减少医务人员工作量。

The effect of Vacuum sealing drainage and nursing intervention on chronic and nonhealing wounds

Objective To explore the effect of Vacuum sealing drainage （VSD） and nursing intervention on chronic and nonhealing wounds. Methods 60 patients with chronic and nonhealing wounds were randomly divided into experimental group and control group, each group had 30 patients; the experimental group was treated by the VSD technique and appropriate nursing interventions,the control group was treated with conventional dressing and care measures.The degree of mental anxiety, numbers of linen changement,times of dressing,rate of wound healing of two groups before treatment （T1）,three days （T2） and 7 days （T3） after treatment were subjected to comparative analysis. Results After seven days of treatment, the degree of mental anxiety,rate of wound healing,infection control, hospitalization time and costs of the experimental group were better than control group, the differences were statistically significant （P〈0.05）. Conclusion The VSD technique could relieve the patient＇s pain and anxiety during the treatment chronic and nonhealing wound, shorten the course of the disease, reduce the patients＂ economic burden, and the the medical staff＇s workload.