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营养在伤口愈合中的作用及其对护理实践的启示。

The role of nutrition in wound healing and implications for nursing practice.

作者信息

Hill Barry, Mitchell Aby, Szydlowska Agnieszka, Sparks Chrystal, Dunn Hannah, Berry Harri

机构信息

Professor of Nursing and Head of School of Nursing and Midwifery, Buckinghamshire New University.

Senior Lecturer in Nursing Education, King's College London.

出版信息

Br J Nurs. 2025 Feb 20;34(4):S39-S42. doi: 10.12968/bjon.2024.0288.

DOI:10.12968/bjon.2024.0288
PMID:39969834
Abstract

Nutrition plays a vital role in wound healing, influencing both the speed and quality of recovery. The wound healing process encompasses haemostasis, inflammation, proliferation, and remodelling, each reliant on specific nutrients. This article summarises the current literature on the role of nutrition in wound healing, focusing on key nutrients: proteins, vitamins (A, C, E, K), and minerals (zinc, iron, copper, manganese), essential for collagen synthesis, immune function, and cellular activity. Nurses are pivotal in assessing nutritional status, implementing dietary interventions, and educating patients and caregivers about the importance of nutrition in wound care. Practical strategies include personalised dietary plans, appropriate use of nutritional supplements, and regular monitoring of nutritional intake and wound healing progress. Although the benefits of nutrition in wound healing are well established, challenges persist, particularly in the limited evidence beyond pressure injuries and the constrained efficacy of supplementation without deficiencies. A multidisciplinary approach is critical to optimise nutritional support and improve patient outcomes in wound healing.

摘要

营养在伤口愈合中起着至关重要的作用,影响着恢复的速度和质量。伤口愈合过程包括止血、炎症、增殖和重塑,每个阶段都依赖特定的营养素。本文总结了当前关于营养在伤口愈合中作用的文献,重点关注关键营养素:蛋白质、维生素(A、C、E、K)和矿物质(锌、铁、铜、锰),这些营养素对胶原蛋白合成、免疫功能和细胞活动至关重要。护士在评估营养状况、实施饮食干预以及教育患者和护理人员营养在伤口护理中的重要性方面起着关键作用。实际策略包括个性化饮食计划、合理使用营养补充剂以及定期监测营养摄入和伤口愈合进展。尽管营养在伤口愈合中的益处已得到充分证实,但挑战依然存在,特别是在压力性损伤之外的证据有限以及在无营养缺乏情况下补充剂效果受限方面。多学科方法对于优化营养支持和改善伤口愈合患者的预后至关重要。

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The role of nutrition in wound healing and implications for nursing practice.营养在伤口愈合中的作用及其对护理实践的启示。
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Nutrition in wound healing: investigation of the molecular mechanisms, a narrative review.伤口愈合中的营养:分子机制研究,一篇叙述性综述
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The effectiveness of a specialised oral nutrition supplement on outcomes in patients with chronic wounds: a pragmatic randomised study.一种专门的口服营养补充剂对慢性伤口患者结局的影响:一项实用随机研究。
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Nutritional interventions for preventing and treating pressure ulcers.营养干预预防和治疗压疮。
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Nutrition and wound healing: an overview.营养与伤口愈合:概述
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