Application of multi-disciplinary team model led by enterostomal therapist in the diagnosis and treatment of chronic wounds
Objective To explore the clinical practice effects of multi-disciplinary team(MDT)model led by enterostomal therapist in the diagnosis and treatment of chronic wounds.Methods Three types of subspecialty patients diagnosed and treated by the MDT team for chronic wounds in the Wound Care Center of West China Hospital of Sichuan University between January 2020 and December 2022,including MDT for diabetes feet,MDT for immune ulcer and MDT for other refractory wounds,were retrospectively included.The clinical data,healing rate,healing time,and satisfaction rate of patients were analyzed.Results A total of 176 patients were included,including 103 cases of diabetes foot,31 cases of immune ulcer,and 42 cases of other refractory wounds.The healing rate was 71.84％in patients with MDT of diabetes foot,74.19％in patients with MDT of immune ulcer and 78.57％in patients with MDT of other refractory wound.The average healing time was 18.10 weeks for patients with diabetes foot,19.69 weeks for patients with immune ulcer,and 20.53 weeks for patients with other refractory wounds.The satisfaction rates of patients in the three groups were relatively high(＞95％).Conclusion The MDT model led by enterostomal therapist can provide comprehensive treatment plans for difficult and complex chronic wound patients,improve the treatment outcomes of chronic wounds,and is worthy of further promotion and application in the clinical diagnosis and treatment of chronic wounds.
万方数据
维普
