Registrar, Vascular Surgery Department, Liverpool Hospital, South Western Sydney Local Health District, Australia.
Vascular and Endovascular Surgeon, Liverpool Hospital, South Western Sydney Local Health District, Australia.
Br J Nurs. 2021 Mar 11;30(5):S38-S42. doi: 10.12968/bjon.2021.30.5.S38.
Wounds are a commonly encountered and complex entity in healthcare, and often require multidisciplinary involvement for their management. Wound care and healing are affected by a range of factors of which nutrition, a modifiable factor, plays an integral part. Familiarity with the phases of wound healing and the differing nutritional requirements at each stage is fundamental to managing wounds. Additionally, awareness of the signs of malnutrition, screening tools and educational resources for managing malnutrition in primary care settings are all vital to minimising malnutrition and its adverse effects on wound healing. This article reviews the phases of wound healing and the associated nutritional requirements required for optimal healing, the clinical signs of malnutrition and screening resources for identifying at-risk groups, as well as reviewing current guidelines for managing malnutrition in the inpatient and outpatient setting.
伤口是医疗保健中常见且复杂的问题，通常需要多学科参与管理。伤口护理和愈合受到多种因素的影响，其中营养是一个可改变的因素，起着至关重要的作用。熟悉伤口愈合的各个阶段以及每个阶段的不同营养需求，是管理伤口的基础。此外，了解营养不良的迹象、初级保健环境中用于管理营养不良的筛查工具和教育资源，对于最大限度地减少营养不良及其对伤口愈合的不利影响也至关重要。本文回顾了伤口愈合的各个阶段以及最佳愈合所需的相关营养需求、营养不良的临床迹象和识别高危人群的筛查资源，同时还回顾了住院和门诊环境中管理营养不良的现行指南。
