急性开放性创面数字化管理方案的构建及效果评价

doi:10.3761/j.issn.2096-7446.2025.09.005

摘要/Abstract

摘要：

目的构建急性开放性创面数字化管理方案，并探讨其应用效果。方法通过文献回顾、焦点小组访谈和专家会议论证，构建急性开放性创面数字化管理方案。采用方便抽样法，选取浙江省某三级甲等医院急诊科2024年6月—12月收治的131例患者作为试验组，在常规护理的基础上，采用急性开放性创面数字化管理方案；2023年6月—12月收治的134例患者作为对照组，采用急性开放性创面常规护理。比较两组患者在急诊救治期间创面暴露次数、创面出血量、疼痛评分、医生满意度情况。结果两组患者均无脱落。试验组疼痛评分、创面暴露次数、创面出血量低于对照组，差异均具有统计学意义（P<0.05）；试验组医生创面管理满意度高于对照组，差异均具有统计学意义（P<0.05）。结论该研究构建的急性开放性创面数字化管理方案具有科学性及可行性，实施该方案能减少急诊创面暴露次数和出血量，减轻患者疼痛，提高手术医生满意度。

关键词: 急诊, 数字化, 创面管理, 护理

Abstract:

Objective To establish a digital management program for acute open wounds and explore its application effects. Methods Through literature review，focus group interviews and expert meeting verification，a digital management program for acute open wounds was constructed. By convenience sampling method，131 patients admitted to the emergency department of a tertiary class A hospital in Zhejiang Province from June to December 2023 were taken as the experimental group，and were given digital management program in addition to the routine care. 134 patients admitted from June to December 2024 were taken as the control group，and were received routine care for acute open wounds. The exposure frequency of wounds，the amount of bleeding from wounds，the pain scores，and the satisfaction of doctors were compared between the two groups. Results There was no dropouts in either group. The pain score，the number of wound exposures，and the amount of wound bleeding in the experimental group were lower than those in the control group，and the differences were statistically significant（P<0.05）. The satisfaction of doctors with wound management in the experimental group was higher than that in the control group，and the difference was statistically significant（P<0.05）. Conclusion The digital management program for acute open wounds constructed in this study is scientific and feasible. Implementing this strategy can reduce the number of emergency wound exposures and the amount of bleeding，alleviate patients’ pain，and improve the satisfaction of surgeons.

Key words: Emergency, Digitization, Wound Management, Nursing

潘银芝, 姚晓月, 杨旻斐, 陈芳, 陈彬, 郑成, 张勇. 急性开放性创面数字化管理方案的构建及效果评价[J]. 中华急危重症护理杂志, 2025, 6(9): 1055-1060.

PAN Yinzhi, YAO Xiaoyue, YANG Minfei, CHEN Fang, CHEN Bin, ZHENG Cheng, ZHANG Yong. Construction and effect evaluation of digital management program for acute open wounds[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1055-1060.

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