Wound Bed Preparation 2021.
Wound Bed Preparation 2021.
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DOI：
10.1097/01.asw.0000733724.87630.d6
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发表时间：
2021-04-01
影响因子：
2.4
通讯作者：
Somayaji R
中科院分区：
文献类型：
--
作者：
Sibbald RG;Elliott JA;Persaud-Jaimangal R;Goodman L;Armstrong DG;Harley C;Coelho S;Xi N;Evans R;Mayer DO;Zhao X;Heil J;Kotru B;Delmore B;LeBlanc K;Ayello EA;Smart H;Tariq G;Alavi A;Somayaji R
伤口床准备是优化慢性伤口治疗的范例。这种全面的方法检查治疗的原因和病人为中心的关注，以确定伤口是可愈合的，维持伤口，或不可愈合（姑息）。对于可愈合的伤口（有充足的血液供应和可以纠正的原因），水分平衡是指积极清创和控制局部感染或异常炎症。在维持和不可愈合的伤口中，重点转变为患者舒适，缓解疼痛，控制气味，通过减少伤口表面细菌来预防感染，保守清创痂，以及包括渗出物控制在内的水分管理。在第四次修订中，作者将该模型重新表述为10个语句。这篇文章将集中在最近5年的文学或旧文学的新解释。该过程旨在促进临床环境中的知识转化，并以较低的医疗保健系统成本改善患者的预后。介绍2021年伤口床准备范例的更新。这项继续教育活动是为医生、医师助理、执业护士和对皮肤和伤口护理感兴趣的护士准备的。参加本次教育活动后，参与者将：应用伤口评估策略。2. 确定患者对伤口护理的关注。3. 选择可愈合、不可愈合和维持伤口的管理方案。
Wound Bed Preparation is a paradigm to optimize chronic wound treatment. This holistic approach examines the treatment of the cause and patient-centered concerns to determine if a wound is healable, a maintenance wound, or nonhealable (palliative). For healable wounds (with adequate blood supply and a cause that can be corrected), moisture balance is indicated along with active debridement and control of local infection or abnormal inflammation. In maintenance and nonhealable wounds, the emphasis changes to patient comfort, relieving pain, controlling odor, preventing infection by decreasing bacteria on the wound surface, conservative debridement of slough, and moisture management including exudate control. In this fourth revision, the authors have reformulated the model into 10 statements. This article will focus on the literature in the last 5 years or new interpretations of older literature. This process is designed to facilitate knowledge translation in the clinical setting and improve patient outcomes at a lower cost to the healthcare system. To present the 2021 update of the Wound Bed Preparation paradigm. This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. After participating in this educational activity, the participant will: 1. Apply wound assessment strategies. 2. Identify patient concerns about wound care. 3. Select management options for healable, nonhealable, and maintenance wounds.