Clinical Study on the Application of Comprehensive Nursing Mode for Chronic Wound Care to Reduce Wound-Related Pain
Abstract: Objective: To evaluate the effect of comprehensive nursing mode on pain reduction and wound healing. Methods: The comprehensive nursing mode was used on patients in study group; the rou-tine nursing mode was used on patients in control group. Results: Pain score and wound healing rate were significantly different between the two groups. Conclusions: Application of comprehensive nursing mode can effectively reduce wound-related pain and promote wound healing in patients with lower extremity venous ulcer.
文章引用: 吴 玲 , 范英华 , 张莉莉 , 周 芳 , 周少婧 , 应 红 , 王 芳 , 李 剑 (2015) 慢性伤口综合护理模式应用于改善伤口相关性疼痛的临床研究。 护理学， 4， 23-28. doi: 10.12677/NS.2015.42005
 Woo, K.Y. and Sibbald, R.G. (2009) The improvement of wound-associated pain and healing trajectory with a com-prehensive foot and leg ulcer care model. Journal of Wound Ostomy & Continence Nursing, 36, 184-191.
 Meaume, S., Teot, L., Lazareth, I., et al. (2004) Importance of pain reduction through dressing selection in routine wound management: The MAPP study. Journal of Wound Care, 13, 409.
 Reddy, M., Keast, D., Fowler, E., et al. (2003) Pain in pressure ulcers. Ostomy/Wound Management, 49, 30-35.
 Ryan, S., Eager, C. and Sibbald, R.G. (2003) Venous leg ulcer pain. Ostomy/Wound Management, 49, 16-23.
 Ferris, F.D., Al Khateib, A.A., Fromantin, I., et al. (2007) Palliative wound care: managing chronic wounds across life’s continuum: A consensus statement from the international palliative wound care initiative. Journal of Palliative Medicine, 10, 37-39.
 Ribu, L., Rustøen, T., Birkeland, K., et al. (2006) The prevalence and occurrence of diabetic foot ulcer pain and its impact on health-related quality of life. The Journal of Pain, 7, 290-299.
 Freedman, G., Entero, H. and Brem, H. (2004) Practice treatment of pain in patients with chronic wounds: Pathogenesis-guided management. American Journal of Surgery, 188, 31-35.
 Nemeth, K.A., Harrison, M.B., Craham, I.D., et al. (2004) Understanding venous leg ulcer pain: Results of a longitudinal study. Ostomy Wound Management, 50, 34-36.
 Herber, O.R., Schnepp, W. and Rieger, M.A. (2007) A systematic review on the impact of leg ulceration on patients’ quality of life. Health and Quality of Life Outcomes, 5, 44-56.
 赵继军 (2010) 疼痛护理学. 人民军医出版社, 北京, 3-5.
 邱桂连, 林元红 (2008) 2%利多卡因湿敷伤口减轻清创疼痛的观察. 中国现代药物应用, 6, 46-47.
 贾静, 仇晓溪, 吴晓苏 (2010) 造口治疗师在慢性伤口处理过程中疼痛管理探讨. 护理研究, 8, 2217-2219.
 Jones, J., Barr, W., Robinson, J. and Carlisle, C. (2006) Depression in patients with chronic venous ulceration. British Journal of Nursing, 15, S17-S23.
 Worley, C.A. (2007) It really hurts when I walk! Arterial disease—Differential diagnosis and treatment. Dermatology Nursing, 19, 286-288.
 Woo, K., Price, P., Harding, K., et al. (2007) An open randomized crossover investigation assessing perceived pain at dressing change comparing a soft silicone dressing, Mepolex Border, with a adhesive hydrocellular polyurethane dressing, Allevyn Adhesive in subjects with chronic ulcer. European Wound Management Association, Glasgow.
 World Union of Wound Healing Societies (WUWHS) (2008) Principles of best practice: Compression in venous leg ulcers. A consensus document, MEP Ltd., London.
 Doughty, D.B. (2006) Strategies for minimizing chronic wound pain. Advances in Skin & Wound Care, 19, 82-85.
 Weisenseel, P., Kuznetsov, A.V., Molin, S., Ruzicka, T., Berking, C. and Prinz, J.C. (2008) Photodynamic therapy for granuloma annulare: More than a shot in the dark. Dermatology, 217, 329-332.
 吕娟, 宁宁, 叶霞, 廖灯彬, 陈佳丽 (2012) 某院85名伤口治疗护士伤口疼痛认知及管理情况分析. 护理学报, 1, 1-4.
 Patel, N.P., Labropoulos, N. and Pappas, P.J. (2006) Current management of venous ulceration. Plastic & Reconstructive Surgery, 117, 254S-260S.