期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (1) ; 34-37 ; DOI: 10.12208/j.jacn.20250011.

Nursing of a diabetic patient with wound infection caused by traffic crush injury of the left medial ankle
一例糖尿病患者左足内踝交通挤压伤至伤口感染的护理

作者: 杨丽银 *

云南省中医医院外科伤口造口护理门诊 云南昆明

*通讯作者: 杨丽银,单位:云南省中医医院外科伤口造口护理门诊 云南昆明;

发布时间: 2025-01-28 总浏览量: 110

摘要

目的 总结一例糖尿病患者左足内踝交通挤压伤至伤口感染的护理经验。方法 以治疗一例糖尿病患者左足内踝交通挤压伤至伤口感染的病例为例,通过对伤口愈合影响因素进行评估,根据每次换药伤口评估情况选择适宜敷料,总结对此类伤口的临床护理要点。结果 通过准确评估伤口情况,在伤口不同时期采用不同的换药护理方法,积极控制患者血糖水平及有效的健康教育,是加速伤口愈合的关键。患者满意度提升。结论 糖尿病患者交通挤压伤至伤口感染的病例,在做好基础护理的前提下,给予伤口准确评估及针对性的护理,积极控制血糖水平及有效的健康教育,通过多项高效的针对性护理措施,加速伤口康复愈合。

关键词: 糖尿病;挤压伤;伤口感染;伤口评估;换药护理;护理措施

Abstract

Objective To summarize the nursing experience of a diabetic patient with wound infection caused by traffic crush injury of the left medial ankle.
Methods Taking the case of a diabetic patient with wound infection caused by traffic crush injury of the left medial ankle as an example, the factors affecting wound healing were evaluated, and appropriate dressings were selected according to the wound assessment of each dressing change, and the clinical nursing points for such wounds were summarized.
Results Accurately assessing the wound condition, using different dressing care methods at different stages of the wound, actively controlling the patient's blood sugar level and effective health education are the keys to accelerating wound healing. Patient satisfaction is improved.
Conclusion   For diabetic patients with wound infection caused by traffic crush injury, accurate wound assessment and targeted care are given on the premise of doing a good job in basic nursing, blood sugar levels are actively controlled and effective health education is given, and wound rehabilitation and healing are accelerated through a number of efficient targeted nursing measures.

Key words: Diabetes; crush injury; Wound infection; Wound assessment; Dressing care; Nursing measures

参考文献 References

[1] LONG B, LIANG S Y, GOTTLIEB M. Crush injury and syndrome: A review for emergency clinicians[J]. Am J Emerg Med, 2023,69:180-187

[2] 王晋祥, 董宇新, 赵一博,等. 挤压综合征相关急性肾损伤的诊疗进展[J]. 中国全科医学,2022,25(15):1914-1918

[3] 张晓雷, 吕松峰, 王磊. 分期手术治疗对伴有严重小腿挤压伤的胫腓骨开放性骨折患者的影响[J]. 深圳中西医结合杂志,2023,33(11):75-78

[4] BOWERS S, FRANCO E. Chronic wounds:evaluation and management. Am Fam Physician, 2020,101(3):159-166.

[5] SORBER R, ABULARRAGE C J. Diabetic foot ulcers:epidemiology and the role of multidisciplinary care teams. Semin Vasc Surg, 2021,34(1):47-53.

引用本文

杨丽银, 一例糖尿病患者左足内踝交通挤压伤至伤口感染的护理[J]. 临床护理进展, 2025; 4: (1) : 34-37.