CAJ | 학술논문

目的：了解2012-2013年我院患者伤口特征变化及治疗现状，了解伤口专科护士在伤口治疗中的作用，为进一步规范伤口治疗与护理提供依据。方法：回顾分析2012、2013年我院住院患者压疮发生率及预后，门诊伤口换药患者常见伤口的分类、数量及增长趋势、处理方法等。结果：在住院患者压疮发生率及严重程度方面，2012年与2013年无统计学差异（P>0.05）；在压疮治愈/好转率方面，2013年高于2012年，差异有统计学意义（P<0.05）；门诊换药人次2013年较2012年增幅为4.88%，增幅较大的伤口类型依次为动/静脉溃疡、糖尿病足、压疮；换药人次较多的依次为缝线、脓肿切开术后/感染、外伤；门诊患者运用湿性愈合理论干预伤口的比例明显低于住院患者（P<0.05）。结论：应重视对伤口专科护理人才的培养，充分发挥伤口专科护士在伤口处理中的作用，采用多学科合作的方式对伤口进行规范化管理。
목적：료해2012-2013년아원환자상구특정변화급치료현상，료해상구전과호사재상구치료중적작용，위진일보규범상구치료여호리제공의거。방법：회고분석2012、2013년아원주원환자압창발생솔급예후，문진상구환약환자상견상구적분류、수량급증장추세、처리방법등。결과：재주원환자압창발생솔급엄중정도방면，2012년여2013년무통계학차이（P>0.05）；재압창치유/호전솔방면，2013년고우2012년，차이유통계학의의（P<0.05）；문진환약인차2013년교2012년증폭위4.88%，증폭교대적상구류형의차위동/정맥궤양、당뇨병족、압창；환약인차교다적의차위봉선、농종절개술후/감염、외상；문진환자운용습성유합이론간예상구적비례명현저우주원환자（P<0.05）。결론：응중시대상구전과호리인재적배양，충분발휘상구전과호사재상구처리중적작용，채용다학과합작적방식대상구진행규범화관리。
Objective: To know the characteristics and present status of treatment from 2012 to 2013 in our hospital, to highlight the role of wound clinical nurse specialists in wound healing, and to provide evidence in wound care in a standard way. Methods: A retrospective investigation was performed to analyze the causes of wounds, the numbers of patients with wound and its rising tendency, the treatments and prognosis of all kinds of wounds of inpatients and outpatients in our hospital from 2012 to 2013. Results: There was no statistical difference in the incidence and severity of pressure ulcer between inpatients in 2012 and 2013 (P>0.05). Curative/improvement rate of pressure ulcer patients in 2013 was dramatically higher than those in 2012 (P<0.05). Dressing change person-time rose by 4.88% in 2013 compared with that in 2012. The top three wounds which increased most were aortic/venous ulceration, diabetes foot and pressure ulcer. The three most common wounds were suture wound, post-incision of abscess/infection and trauma wound. The rate of outpatients who acquired moist healing therapy was obviously lower than that of inpatients (P<0.05). Conclusion: It's necessary to pay attention to the training of wound clinical nurse specialists and give full play to their effects in wound care. To manage all sorts of wounds in a standard way by means of multidisciplinary collaboration is very important.