Improved Clinical Efficacy with Wound Support Network Between Hospital and Home Care Service

被引：17

作者：

Bergersen, Tone Kristin ^{[1
,2
]}

Storheim, Elisabeth ^{[2
]}

Gundersen, Stina ^{[2
]}

Kleven, Linn ^{[3
]}

Johnson, Maria ^{[4
]}

Sandvik, Leiv ^{[5
]}

Kvaerner, Kari Jorunn ^{[4
]}

Orjasaeter, Nils-Otto ^{[4
,6
]}

机构：

[1] Univ Oslo, Inst Clin Med, Oslo, Norway

[2] Oslo Univ Hosp, Dept Dermatol, Oslo, Norway

[3] Oslo Univ Hosp, Oslo Ctr Biostat & Epidemiol, Oslo, Norway

[4] Oslo Univ Hosp, Clin Innovat, Oslo, Norway

[5] Oslo Ctr Biostat & Epidemiol, Oslo, Norway

[6] BI Norwegian Business Sch, Oslo, Norway

来源：

ADVANCES IN SKIN & WOUND CARE | 2016年 / 29卷 / 11期

关键词：

chronic wounds; leg ulcer; wound care; wound support network; VENOUS LEG ULCERS;

D O I：

10.1097/01.ASW.0000499714.97688.4b

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

OBJECTIVE: The aim of this study was to test the efficacy of a wound support network model between the primary home care service and the hospital. The impact on wound healing rate, cost benefit, and transfer of knowledge was investigated. INTERVENTION: The intervention group was exposed to a wound support network (n = 32), and the control group continued standard organization of treatment (n = 21). DESIGN: Nonrandomized controlled study; observations were made before (baseline) and after the implementation of the intervention (12 weeks). PATIENTS: Patients with chronic wounds (lasting 96 weeks and with wound area 91 cm 2) in Oslo, Norway. MAIN OUTCOME MEASURES: Closure of the observation wound; wound size; total number of wounds; presence of eczema, edema, and pain; number of dressings per week; time spent per dressing; and number of control appointments at the hospital. The economic impact is calculated for the hospital and for the community of Oslo, Norway. MAIN RESULTS: The number of control appointments (t = 3.80, P < .001) was significantly decreased, and the number of completed treatments (P = .02) was significantly increased after 12 weeks in the intervention group compared with the control group. A significant improvement was evident in the intervention group in terms of eczema (P = .02), edema (P = .03), and closing of the observational wound (46.7% cases in the intervention group versus 25.0% in the control group). CONCLUSIONS: A wound support network between the primary home care service and the hospital is cost-effective, improves clinical efficacy of the home care services' work, and reduces the need for consultations at the hospital.

引用

页码：511 / +

页数：6

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