Effect of collaborative nursing intervention assisted with wet therapy on chronic wound healing / 中国实用护理杂志

ABSTRACT

Objective:To explore the effect of collaborative nursing intervention in moist therapy of patients with chronic wounds, in order to provide a theoretical basis for the treatment of chronic wounds.Methods:A total of 120 patients with chronic wounds in Wenchang People's Hospital, Hainan Province, from April 2018 to April 2020 were selected, and divided into two groups by random number table methods, each with 60 cases. The control group was given routine nursing of wet treatment, while the observation group was given collaborative nursing on the basis of the control group. The general data of patients were collected and the wound healing, quality of life, anxiety and depression were compared.Results:The wound healing time of the observation group was (14.36±3.68) d, which was shorter than that of the control group (17. 87±3.71) d, the difference was statistically significant( t value was 5.203, P<0.01). There was no significant difference in the total score of pressure ulcer healing before treatment between the two groups( P>0.05). After treatment, the total score of pressure ulcer healing was (4.32± 1.15) points in the observation group and (6.75 ± 1.13) points in the control groups, the difference was statistically significant( t value was 11.675, P<0.01).There was no significant difference in the scores of each dimension in the short form of health survey before treatment between the two groups( P>0.05). After treatment, the scores of physiological function, physiological function, emotional function, physical pain, vitality, mental health, social function, overall health dimensions in the short form of health survey were (47.36 ± 12.48), (68.97 ± 12.46), (54.36 ± 19.48), (78.46 ± 10.12), (75.46 ± 12.54), (69.78 ± 15.64), (89.64 ± 10.14), (72.46±9.48) points in the observation group, and (42.48±12.57), (62.42±12.53), (46.34±20.35), (71.25±10.36), (66.32±12.37), (57.43±16.53), (72.48±11.48), (59.34±10.14) points in the control group, the differences were statistically significant( t values were 5.681-16.903, P<0.01). There was no significant difference in the score of Self-rating Anxiety Scale, Self-rating Depression Scale before treatment between the two groups( P>0.05). The score of Self-rating Anxiety Scale, Self-rating Depression Scale were (38.15±4.32), (39.24±4.25) points in the observation group and (43.42±4.18), (45.17±4.16) points in the control group, the differences were statistically significant ( t values were 6.791, 7.724, P<0.01). Conclusions:Collaborative nursing model can effectively promote wound healing of patients with chronic wound moist therapy, and improve their quality of life.