Effect of multidisciplinary collaborative intervention on wound healing and quality of life in patients with chronic wounds
Objective To explore multidisciplinary collaborative intervention strategies for patients with chronic wounds,in order to improve their wound healing effect and quality of life.Methods A prospective study method was used to select 72 patients with chronic wounds admitted to Wound Repair Department,The Fourth People's Hospital of Nanhai District,Foshan City from April 2022 to March 2023,and they were divided into a control group and an observation group with 36 cases in each group by the random number table method.There were 19 males and 17 females in the control group,aged(61.14±8.69)years,with the duration ofulcerof(51.69±14.89)d,and they received routine intervention for chronic wounds.There were 21 males and 15 females in the observation group,aged(60.53±7.28)years,with the duration of ulcer of(52.94±13.39)d,and they adopted multidisciplinary collaborative intervention model on the basis of the control group.Both groups were intervened until wound healing or 4 weeks after discharge.The Bates-Jensen Wound Assessment Tool(BWAT)and Chinese version of Wound Quality of Life Scale(Wound QoL)were used to evaluate the patients'wound healing status and quality of life,and the patients'wound healing rate and healing time were recorded.Independent sample t test was used for the measurement data and x2 test was used for the count data.Results The wound healing rate of the observation group was higher than that of the control group[94.4%(34/36)vs.77.8%(28/36)],and the wound healing time was shorter than that of the control group[(43.39±12.86)d vs.(52.94±15.07)d],with statistically significant differences(x2=4.181,t=2.894,both P<0.05).At the 4th week of intervention and after wound healing or 8 weeks after discharge,the BWAT scores of the observation group were lower than those of the control group[(17.53±5.68)points vs.(23.64±7.74)points,(13.33±1.41)points vs.(15.42±4.98)points],with statistically significant differences(t=3.818 and 2.414,both P<0.05).After wound healing or 8 weeks after discharge,the total score of Wound QoL of the observation group was lower than that of the control group[(29.44±4.69)points vs.(39.28±5.64)points],with a statistically significant difference(t=8.046,P<0.05).Conclusion The multidisciplinary collaborative intervention model can improve the wound healing in patients with chronic wounds,shorten the wound healing time,and improve the quality of life.
Chronic woundsWound healingQuality of LifeMultidisciplinary collaboration