Dissemond Joachim, Protz Kerstin, Erfurt-Berge Cornelia, Kröger Knut, Kottner Jan
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
CompetenzzentrumVersorgungsforschung in der Dermatologie (CVderm), Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland.
Dermatologie (Heidelb). 2022 Jul;73(7):550-555. doi: 10.1007/s00105-022-04973-y. Epub 2022 Mar 16.
Today, patients with chronic wounds are treated in many different fields of medicine. Despite this great interdisciplinary and interprofessional importance, there is still a lack of uniformly accepted definitions and classifications. Therefore, a group of experts from the professional society Initiative Chronische Wunden (ICW) e. V. translated and adapted the classification of chronic wounds into healable, maintenance and nonhealable wounds on the basis of the internationally published literature into German. This classification results in the aim of curative, limited respectively non-curative or palliative wound care, which are very important for everyday clinical practice. It thus becomes clear that complete wound closure is not always the central intention of wound treatment. For many patients with chronic wounds, other aspects such as the best possible quality of life and the promotion of health-related self-management as well as the avoidance of complications are important for treatment concepts. These therapy intentions should be differentiated and individually discussed with patients in order to facilitate shared decision making.
如今,慢性伤口患者在医学的许多不同领域接受治疗。尽管其具有极大的跨学科和跨专业重要性,但仍缺乏统一认可的定义和分类。因此,专业协会慢性伤口倡议组织(ICW)的一组专家根据国际发表的文献,将慢性伤口分类为可愈合、维持性和不可愈合伤口,并翻译成德语。这种分类产生了治愈性、有限性或非治愈性或姑息性伤口护理的目标,这对日常临床实践非常重要。由此可见,完全闭合伤口并不总是伤口治疗的核心意图。对于许多慢性伤口患者来说,其他方面,如尽可能好的生活质量、促进与健康相关的自我管理以及避免并发症,对治疗理念很重要。这些治疗意图应该加以区分,并与患者进行单独讨论,以促进共同决策。