Fumić Nera, Marinović Marin, Brajan Dolores
Acta Med Croatica. 2014 Oct;68 Suppl 1:13-6.
Health care and today's medical and technical achievements and approved standards of treatment provide comprehensive quality, safety and traceability of medical procedures respecting the principles of health protection. Continuous education improves the quality of nursing health care and increases the effectiveness of patient care, consequently maintaining and enhancing patient safety. Patient health problems impose the need of appropriate, planned and timely nursing care and treatment. In providing quality nursing care, attention is focused on the patient and his/her needs in order to maintain and increase their safety, satisfaction, independence and recovery or peaceful death, so the health and nursing practices must be systematized, planned and based on knowledge and experience. Health and nursing care of patients at risk of developing acute and chronic wounds or already suffering from some form of this imply preventive measures that are provided through patient education, motivation, monitoring, early recognition of risk factors and causes, and reducing or removing them through the prescribed necessary medical treatment which is safe depending on the patient health status. Except for preventive measures, nursing care of patients who already suffer from some form of acute or chronic wounds is focused on the care and treatment of damaged tissue by providing appropriate and timely diagnosis, timely and proper evaluation of the wound and patient general status, knowledge and understanding of the wide range of local, oral and parenteral therapy and treatment, aiming to increase patient safety by preventing progression of the patient general condition and local wound status and reducing the possibility of developing infection or other complications of the underlying disease. In the overall patient management, through nursing process, medical interventions are implemented and aimed to maintain and optimize health status, prevent complications of existing diseases and conditions, provide appropriate wound treatment, increase satisfaction, reduce pain, increase mobility, reduce and eliminate aggravating factors, and achieve a satisfactory functional and aesthetic outcome. Many scientific researches and knowledge about the pathophysiological processes of wound formation and healing are currently available. Modern achievements can accelerate independence, reduce pain and encourage faster wound healing, thus it is important to continuously develop awareness, knowledge and experience, along with the treatment to achieve, maintain and enhance the quality of health care and patient safety.
医疗保健以及当今的医学技术成就和认可的治疗标准，在遵循健康保护原则的基础上，为医疗程序提供了全面的质量、安全性和可追溯性。持续教育提高了护理保健的质量，增强了患者护理的效果，从而维护并提升了患者安全。患者的健康问题使得有必要提供适当、有计划且及时的护理和治疗。在提供优质护理时，关注点在于患者及其需求，以维护并提高他们的安全性、满意度、独立性以及康复或安详离世，因此健康和护理实践必须系统化、有计划且基于知识和经验。对有发生急慢性伤口风险或已患有某种形式此类伤口的患者进行健康和护理，意味着要通过患者教育、激励、监测、早期识别风险因素和病因，并通过根据患者健康状况进行安全的必要医疗治疗来减少或消除这些因素，从而采取预防措施。除了预防措施外，对已患有某种形式急慢性伤口的患者进行护理，重点在于通过提供适当且及时的诊断、对伤口和患者总体状况进行及时恰当的评估、了解并掌握广泛的局部、口服和胃肠外治疗方法，来护理和治疗受损组织，旨在通过防止患者总体状况和局部伤口状况恶化以及降低潜在疾病发生感染或其他并发症的可能性，来提高患者安全性。在整体患者管理中，通过护理程序实施医疗干预，旨在维护和优化健康状况、预防现有疾病和状况的并发症、提供适当的伤口治疗、提高满意度、减轻疼痛、增加活动能力、减少并消除加重因素，并实现令人满意的功能和美观效果。目前有许多关于伤口形成和愈合病理生理过程的科学研究和知识。现代成就能够加快独立性、减轻疼痛并促进伤口更快愈合，因此持续提高认识、知识和经验，以及进行相应治疗以实现、维护和提升医疗保健质量和患者安全非常重要。
