Xu Beihua, Song Xia, Weng Yajuan
At the Third Affiliated Hospital of Soochow, Wound Care Clinic, Changzhou, China, Beihua Xu, BSN, and Xia Song, BSN, are Registered Nurses and Wound Care Nurses. Yajuan Weng, MSN, MBA, RN, is Registered Nurse, Enterostomal Therapist, and Chair of the Wound Ostomy Continence Nursing Group, Nanjing Drum Tower Hospital, Nanjing, China.
Adv Skin Wound Care. 2023 Apr 1;36(4):1-4. doi: 10.1097/01.ASW.0000920512.88426.90.
A multidisciplinary team (MDT) approach is the most efficient way to treat many chronic and serious diseases. In this case report, providers sought to implement an MDT approach to treat a patient with diabetes and foot ulcers, actively involving the patient's caregiving family members. Comprehensive evaluation, blood sugar control, and timely referral were established as the primary treatment course. Negative-pressure wound therapy was applied to completely remove necrotic tissue debris and seropurulent discharge from the foot ulcers under the consultation of the MDT team. Local wound management, protection of the periwound skin, and health education for the patient's wound care nurse specialists were integral to the treatment outcome. After 3 months of treatment, the patient's right foot wound bed was improved, and further skin-grafting surgery was performed to accelerate the healing process during follow-up treatments.
多学科团队(MDT)方法是治疗许多慢性和严重疾病的最有效方式。在本病例报告中,医疗服务提供者试图采用MDT方法治疗一名患有糖尿病和足部溃疡的患者,并积极让患者的护理家庭成员参与其中。确立了综合评估、血糖控制和及时转诊作为主要治疗过程。在MDT团队的会诊下,应用负压伤口疗法彻底清除足部溃疡处的坏死组织碎片和脓性分泌物。局部伤口管理、伤口周围皮肤保护以及对患者伤口护理护士专家进行健康教育对于治疗结果至关重要。经过3个月的治疗,患者右脚伤口床有所改善,并在后续治疗中进行了进一步的植皮手术以加速愈合过程。