OAM, MEdD, MS, FRACS, MNAMS, FACS, MBBS, BSc, Professor of Wound Care (Surgery), University of Tasmania, Tas; Professor and Head of Anatomy, School of Medicine, University of Notre Dame Australia, NSW.
Aust J Gen Pract. 2019 Sep;48(9):596-599. doi: 10.31128/AJGP-04-19-4921.
The availability of complex wound dressings following progressive innovations, increasing demand for hospital beds and the early discharge of post-operative patients have shifted the sharing of care of such patients from hospital specialists to general practitioners (GPs). Although several published guidelines on the management of chronic wounds exist, there is a lack of similar material addressing the assessment and management of post-surgical wounds.
The aim of this article is to provide a practical guideline for identifying early complications of post-surgical wounds and managing patients with complex wound dressing systems such as vacuum-assisted closure.
Early detection of wound complications is crucial to improving patients' quality of life and reducing hospital readmission. GP competency in the proper application of complex dressings is one component that can improve these factors. Effective communication, including documentation, between hospitals, community nurses and GPs ensures smooth management of wound care for patients.
随着复杂伤口敷料的不断创新，医院床位需求的增加以及术后患者的提前出院，此类患者的护理工作已从医院专科医生转移到了全科医生（GP）。尽管有一些关于慢性伤口管理的已发表指南，但缺乏类似的材料来解决术后伤口的评估和管理问题。
本文旨在为识别术后伤口早期并发症以及管理使用真空辅助闭合等复杂伤口敷料系统的患者提供实用指南。
早期发现伤口并发症对于提高患者的生活质量和减少医院再入院至关重要。GP 在正确应用复杂敷料方面的能力是改善这些因素的一个组成部分。医院、社区护士和 GP 之间有效的沟通，包括文件记录，可确保患者伤口护理的顺利管理。
