Arnold N, Weir D
J Wound Ostomy Continence Nurs. 1994 Jul;21(4):156-60. doi: 10.1097/00152192-199407000-00010.
The continually growing home car market is seeing a higher percentage of patients with wounds. The findings of this investigation may assist the industry in determining whether the higher cost of employing ET nurses is justified. This study compared the outcome of wound care in the home setting provided by ET nurses with outcomes of wound care provided by staff nurses in the same setting. The investigation was a retrospective study of the total population of patients with wounds (n = 519) admitted to five home care agencies in central and south Florida over an 18-month period. The sample consisted of 344 wounds cared for by ET nurses and 464 wounds cared for by staff nurses. The following data were collected through retrospective review of the records: stage of wounds, descriptions of the wounds, types of wounds, number of nursing visits, number of healed wounds, and time to heal each wound. Only 36.3% of the wounds not cared for by ET nurses healed in the time the patients were seen for skilled-nursing services by the home health care agencies. Of the ET-nursed wounds, 78.5% healed. The average number of skilled-nursing visits for patients not nursed by ET nurses was less than 17. ET-nursed patients were seen an average of 31.6 visits.
不断增长的家庭护理市场中，伤口患者的比例越来越高。这项调查的结果可能有助于该行业确定聘请造口治疗师护士的较高成本是否合理。本研究比较了造口治疗师护士在家庭环境中提供伤口护理的结果与同环境下普通护士提供伤口护理的结果。该调查是一项回顾性研究，研究对象为佛罗里达州中部和南部五个家庭护理机构在18个月期间收治的所有伤口患者（n = 519）。样本包括由造口治疗师护士护理的344处伤口和由普通护士护理的464处伤口。通过回顾记录收集了以下数据：伤口阶段、伤口描述、伤口类型、护理访视次数、愈合伤口数量以及每个伤口的愈合时间。在家政保健机构为患者提供专业护理服务期间，未由造口治疗师护士护理的伤口中，只有36.3%愈合。在由造口治疗师护士护理的伤口中，78.5%愈合。未由造口治疗师护士护理的患者的专业护理访视平均次数少于17次。接受造口治疗师护士护理的患者平均接受了31.6次访视。
