Application And Effect Evaluation Of Collaborative Care Model In Patients With 2 Stage Pre-existing Pressure Injury

Objective(s):To explore the effect of the collaborative care model in patients with 2 stage preexisting pressure injury.Methods:A matched case-control method was used to select 66 patients with two-stage preexisting pressure injury from December 2016 to September 2017 in the Second Affiliated Hospital of Kunming Medical University.Firstly,patients who meet the inclusion criteria were paired and randomly assigned to the experimental group in 33 cases and the control group in 33 cases.In the control group,the conventional pressure injury nursing method was used.The experimental group performed the collaborative care model on the basis of the conventional pressure injury nursing.The team passed PPT on-site education,wound therapist turn over and dressing instructions,outpatient follow-up,WeChat platform guidance and many other Methods Interventions were performed on patients and caregivers of stage 2 pressure injuries.The therapist and the researcher gave psychological support,reminded him of the next dressing change,and answered questions on wound disease in order to guide the family members to the maximum extent to help the patients recover.Changes in wounds were measured using the PUSH Wound Evaluation Form on admission,on Days 14 and 28;Short Form-36 Health Survey(SF-36)and Social Support Scales(SRSS)were used at admission and on Day 28 Scale)to assess the patient’s quality of life and social support,and conduct a comparison between the two groups to explore the effect of collaborative care model in patients with pressure injury in next phase.Results:1.There was no difference in general data,nutritional status(BMI),quality of life,social support,and wound area between the two groups of patients(P>0.05).2.Wound area comparison:Comparison of Wound Area:Wound scores(13.55±2.24 vs.13.28±2.01)on day 7 and PUSH wound scores on day 14(9.33±3.00 vs 10.88±2.99)in the experimental and control groups.Wound scores on day 28 The comparison(4.70±4.61 vs 7.82±3.59)showed that the healing rate of the wound area in the experimental group was faster than that of the control group(P<0.05).At the same time,the wound scores of the two groups gradually became smaller,indicating that the wound was healing.3.Comparison the quality of life:The quality of life of the experimental group on the 28th day was significantly related to physiological function(PF),physical pain(SP),vitality(VT),mental health(MH),social function(SF),and general health(GH).Better than the control group(P<0.05).After intervention in the experimental group through collaborative care model,the quality of life was not improved except for physiological function(RP)and affective function(RE)(RP:0.00±0.00 vs 2.27±7.30;RE:5.05± 18.86 vs 14.14±21.57;P>0.05),all other dimensions are improved.The overall score of quality of life in the control group did not increase(P>0.05),but there was an increase in the dimensions of physical function(PF),emotional function(RE),physical pain(SP),mental health(MH),and general health(GH).4.Social support comparison:The social support of the experimental group on the 28th day was significantly better than that of the control group(P<0.05).Conclusion(s):Cooperative nursing model provides patients with personalized,targeted health education and nursing interventions.Compared with traditional nursing models,the application of collaborative care model can accelerate Wound healing speed and improve the quality of life and social support of patients in two-stage pressure injury.The collaborative care model is worth promoting.