School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA.
J Wound Ostomy Continence Nurs. 2013 Mar-Apr;40(2):135-42. doi: 10.1097/WON.0b013e3182850831.
To assess whether there was a significant improvement and stabilization (not worse at discharge) in pressure ulcers, lower extremity venous ulcers, surgical wounds, urinary incontinence, bowel incontinence, and urinary tract infections in home health care (HHC) patients cared for by a certified WOC nurse.
There were 449,170 episodes of care from a national convenience sample of 785 HHC agencies with 447,309 nonmaternity, adult patients between October 1, 2008, and December 31, 2009.
Descriptive and comparative.
Data from the Outcome and Assessment Information Set documented by HHC clinicians were analyzed using mixed-effects logistic regression, propensity score analysis, and appropriate parametric and nonparametric tests. An Internet survey identified whether WOC nurses provided care to patients in an HHC agency. Home health care agencies identified records of patients receiving WOC nurse visits/consults.
An HHC patient assigned to a WOC nurse had surgical wounds, pressure ulcers, and incontinence problems that were significantly worse than HHC patients not assigned to a WOC nurse. Patients cared for by a WOC nurse showed significant improvement and stabilization of the number of pressure ulcers and surgical wounds and the frequency of urinary and bowel incontinence, despite having problems that were more severe than other patients. Home health care patients not cared for by WOC nurses, with less-severe wound and incontinence problems, also got better.
WOC nurses are effective in achieving positive health outcomes for pressure ulcers, surgical wounds, and incontinence in HHC patients with severe health problems.
评估在家庭保健（HHC）患者中，由认证的伤口造口失禁护士（WOCN）护理是否会显著改善和稳定（出院时未恶化）压疮、下肢静脉溃疡、手术伤口、尿失禁、肠失禁和尿路感染。
这是一项来自全国 785 家 HHC 机构的便利样本的 449170 例护理期研究，其中 2008 年 10 月 1 日至 2009 年 12 月 31 日期间有 447309 名非产妇成年患者。
描述性和比较性。
使用混合效应逻辑回归、倾向评分分析以及适当的参数和非参数检验，分析来自 HHC 临床医生的 Outcome and Assessment Information Set 中的数据。一项互联网调查确定了 WOCN 是否在 HHC 机构为患者提供护理。HHC 机构确定了接受 WOCN 访视/会诊的患者记录。
与未分配给 WOCN 的 HHC 患者相比，分配给 WOCN 的 HHC 患者的手术伤口、压疮和失禁问题明显更严重。尽管 WOCN 护理的患者问题比其他患者更严重，但他们的压疮和手术伤口数量以及尿便失禁的频率均显示出显著改善和稳定。未接受 WOCN 护理的 HHC 患者，其伤口和失禁问题较轻，也有所改善。
WOCN 对严重健康问题的 HHC 患者的压疮、手术伤口和失禁问题具有积极的治疗效果。
