临床路径管理在伤口治疗师规范化中的效果

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Abstract Objective To explore the clinical routine of wound therapists and the standardization of their paths and treatment. Methods From November 2015 to October 2017, 260 patients with pressure ulcers, acute contusion and abrasion, and chronic wound admitted to the wound stomatology center of Haikou Hospital Affiliated to Xiangya Medical College of Central South University were selected as the research objects. According to the random number table method, they were divided into control group and research group, with 130 cases in each group. The patients in the control group were treated with conventional treatment methods, and the patients in the study group were treated with clinical pathway management. The clinical treatment effect, the occurrence of adverse reactions after treatment, the satisfaction rate of the patients and the complaint rate of the patients, as well as the changes of the skin quality of life of the two groups were compared. Results The total effective rate of the study group was significantly higher than that of the control group (P ＜ 0.05). The total incidence of adverse reactions in the study group was significantly lower than that in the control group, the difference was statistically significant (P ＜ 0.05). After treatment, the satisfaction rate of patients in the study group was significantly higher than that in the control group (P ＜ 0.05), and the complaint rate was significantly lower than that in the control group (P ＜ 0.05). There was no statistically significant difference in skin quality of life between the pre-treatment study group and the control group (P ＞ 0.05). After treatment, the skin quality of life was improved in both groups, the study group was significantly superior to the control group in scores of psychology, physiology, interpersonal communication, social activities and family, with statistically significant differences (P ＜ 0.05). Conclusion The application of clinical routine and its pathological treatment for patients with pressure ulcers, acute contusions and chronic wounds has a high efficiency, which can effectively reduce the incidence of adverse reaction symptoms, reduce the patient′s complaint, alleviate doctor-patient relationships,and improve the quality of life of the patient's skin, it is worth promoting.

Key words： Wound healing Clinical pathway Standardization Treatment

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	FU Xiaoyu1 CHEN Xiaofen1▲ LIN Bailang2

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FU Xiaoyu1 CHEN Xiaofen1▲ LIN Bailang2. Effect of clinical pathway management in the standardization of wound therapists[J]. 中国医药导报, 2019, 16(3): 163-166.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I3/163

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