Case Control Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 43-50
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.43
Benefits of multidisciplinary collaborative care team-based nursing services in treating pressure injury wounds in cerebral infarction patients
You-Hua Gu, Xun Wang, Si-Si Sun
You-Hua Gu, Department of Neurology, District 27, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Xun Wang, Outpatient Department of Wound, Ostomy and Incontinence, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Si-Si Sun, Emergency Surgical Ward 48, First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Gu YH and Wang X share the same with this article and should be regarded as co-first authors; Gu YH and Wang X design the experiment; Sun SS drafted the work, Gu YH and Wang X collected the data; Sun SS and Gu YH analysed and interpreted data, Wang X and Sisi Sun SS wrote the article.
Institutional review board statement: This study was approved by First Affiliated Hospital of Soochow University ethics committee.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declared that there is no conflict of interest between them.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Si-Si Sun, BM BCh, Chief Nurse, Emergency Surgical Ward 48, First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Gusu District, Suzhou 215000, Jiangsu Province, China. sssunbisheng@163.com
Received: August 18, 2021
Peer-review started: August 18, 2021
First decision: September 29, 2021
Revised: October 14, 2021
Accepted: November 21, 2021
Article in press: November 21, 2021
Published online: January 7, 2022
Processing time: 133 Days and 20.4 Hours
Abstract
BACKGROUND

Cerebral infarction patients need to be bedridden for long periods of time often resulting in pressure injuries, which may represent a serious threat to patients' life and health. An effective nursing program should be adopted for timely intervention in patients with pressure wounds.

AIM

To explore the value of nursing services based on a multidisciplinary collaborative treatment team in patients with pressure injury wounds following cerebral infarction.

METHODS

Patients with cerebral infarction pressure injury wounds in our hospital from December 2016 to January 2021 were selected and divided into one study group and one control group based on the simple random number table method. The control group was treated with conventional nursing care (CNC), and the study group was treated with care services based on multidisciplinary collaborative care (MDCC). The Pressure Ulcer Scale for Healing (PUSH), healing effect, Self-Perceived Burden Score (SPBS), and satisfaction with the intervention were calculated before and after 2 and 4 wk of intervention in both groups.

RESULTS

Sixty-two patients were enrolled, and 31 patients were assigned to each group. The results of the interventions were as follows: (1) There was no significant difference between the PUSH scores of the MDCC group (11.19 ± 2.46) and CNC group (12.01 ± 2.79) before the intervention (P > 0.05), and the PUSH scores were lower after 2 and 4 wk of intervention in the MDCC group (6.63 ± 1.97 and 3.11 ± 1.04) than in the CNC group (8.78 ± 2.13 and 4.96 ± 1.35 points) (P < 0.05); (2) The rate of wound healing in the MDCC group (96.77%) was higher than that in the CNC group (80.65%) (P < 0.05); (3) There was no significant difference between the SPBS scores of emotional factors (21.15 ± 3.11), economic factors (9.88 ± 2.15), and physical factors (8.19 ± 2.23) in the two groups before the intervention. The scores of emotional factors (13.51 ± 1.88), economic factors (6.38 ± 1.44), and physical factors (5.37 ± 1.08) were lower in the MDCC group than in the CNC group (16.89 ± 2.05, 7.99 ± 1.68 and 7.06 ± 1.19) after 4 wk of intervention (P < 0.05); and (4) Satisfaction with the intervention was higher in the MDCC group (93.55%) than in the CNC group (74.19%) (P < 0.05).

CONCLUSION

Interventions for patients with cerebral infarction pressure wounds based on an MDCC treatment team can effectively reduce patients' self-perceived burden, improve pressure wound conditions, facilitate wound healing, and increase patient satisfaction with the intervention.

Keywords: Multidisciplinary collaborative treatment team; Pressure injury wounds from cerebral infarction; Pressure Ulcer Scale for Healing score; Self-Perceived Burden Score; Healing effect

Core Tip: Pressure injury is a serious threat to patient life and health, as it not only aggravates their condition and increases their pain, but also prolongs their hospital stay; it also increases their medical burden, and can lead to infections and other adverse events. This study clarified the value of multidisciplinary collaborative team-based care services in patients with cerebral infarction pressure injury wounds, using selected patients.