Department of Nursing and Midwifery Executive Services, Sydney Local Health District, Sydney, New South Wales, Australia.
Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Int Wound J. 2022 Nov;19(7):1769-1785. doi: 10.1111/iwj.13782. Epub 2022 May 24.
The objective of this study was to assess the viability and acceptability of an innovative Virtual Wound Care Command Centre where patients in the community, and their treating clinicians, have access to an expert wound specialist service that comprises a digitally enabled application for wound analysis, decision-making, remote consultation, and monitoring. Fifty-one patients with chronic wounds from 9 centres, encompassing hospital services, outpatient clinics, and community nurses in one metropolitan and rural state in Australia, were enrolled and a total of 61 wounds were analysed over 7 months. Patients received, on average, an occasion of service every 4.4 days, with direct queries responded to in a median time of 1.5 hours. During the study period, 26 (42.6%) wounds were healed, with a median time to healing of 66 (95% CI: 56-88) days. All patients reported high satisfaction with their wound care, 86.4% of patients recommended the Virtual Wound Care Command Centre with 84.1% of patients reporting the digital wound application as easy to use. Potential mean travel savings of $99.65 for rural patients per visit were recognised. The data revealed that the Virtual Wound Care Command Centre was a viable and acceptable patient-centred expert wound consultation service for chronic wound patients in the community.
本研究旨在评估创新型虚拟伤口护理指挥中心的可行性和可接受性，该中心使社区中的患者及其治疗临床医生能够获得专家伤口护理服务，包括用于伤口分析、决策、远程咨询和监测的数字化应用程序。来自澳大利亚一个大都市和农村州的 9 个中心的 51 名慢性伤口患者入组，在 7 个月内共分析了 61 个伤口。患者平均每 4.4 天接受一次服务，中位数回复直接查询的时间为 1.5 小时。在研究期间，26 个（42.6%）伤口愈合，中位数愈合时间为 66（95%CI：56-88）天。所有患者对他们的伤口护理非常满意，86.4%的患者推荐虚拟伤口护理指挥中心，84.1%的患者表示数字伤口应用程序易于使用。研究发现，农村患者每次就诊的潜在平均旅行节省费用为 99.65 美元。数据显示，对于社区中的慢性伤口患者来说，虚拟伤口护理指挥中心是一种可行且可接受的以患者为中心的专家伤口咨询服务。
