A clinically relevant wound assessment method to monitor healing progression.
A clinically relevant wound assessment method to monitor healing progression.
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一种用于监测愈合进展的临床相关伤口评估方法。
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
Sharon Barber
中科院分区：
文献类型：
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作者：
Sharon Barber
伤口管理的最重要原则之一是定期评估和记录伤口愈合。随着时间的推移，愈合进展的文件允许提供者评估护理的有效性，以最大限度地愈合。目前存在几种确定伤口愈合进展的方法，包括尺寸、视觉和生理评估。然而，由于现有的工具通常需要主观评估的相关性，是耗时的，并且可能不考虑伤口愈合从“自下而上”发生，因此寻求更客观和更快的方法来监测愈合进展。本案例研究的目的是描述一个曾经的笔和纸的工具，现在已经被计算机化（理发测量工具），建立一个病人的个人伤口愈合进展的图形表示，以促进临床决策有关的病人的护理计划。该工具目前用于作者所在机构的所有伤口患者，使用简单的公式计算伤口体积，并在患者图表中随时间推移将此测量值作为基线的百分比进行跟踪。虽然尚未进行正式研究以确定该工具的有效性和可靠性，但该工具已用于400多名患者，并提供了愈合进展的准确表示。有必要进行研究，以支持这一工具的广泛使用。
One of the most important principles of wound management is periodic assessment and documentation of wound healing. Documentation of healing progress over time allows providers to assess the effectiveness of care to maximize healing. Several methods to determine wound healing progress currently exist and include dimensional, visual, and physiological assessments. However, because existing tools often require correlation of subjective assessments, are time-consuming, and may not consider that wound healing occurs from the "bottom up," a more objective and quicker approach to monitor healing progression was pursued. The purpose of this case study is to describe a once pen-and-paper tool that has now been computerized (the Barber Measuring Tool) that builds a graphical representation of a patient's individual wound healing progress to facilitate clinical decisions regarding the patient's plan of care. The tool, which is currently used for all wound patients in the author's facility, calculates wound volume using a simple formula and tracks this measurement as a percent of baseline over time in the patient's chart. Although formal research to establish validity and reliability of this tool has yet to be conducted, the tool has been used with more than 400 patients and has provided an accurate representation of healing progress. Studies to support proliferating use of this tool are warranted.