Evaluating The Effects of Fine Cooperation Program and Doctor-Nurse Integration on Patients with Chronic Wounds

Abstract

Objective: This study aimed to evaluate the effects of fine cooperation program of doctor-nurse integration on wound healing, patient's psychological state and pain degree of patients with chronic wounds. Methods: A total of 100 patients with chronic wounds who were treated with conventional wound management from March 2016 to December 2018 were enrolled as a control group, while another 100 patients with chronic wounds who were treated with the fine cooperation program of doctor-nurse integration during January to October 2020 were selected as an observation group. Nursing satisfaction, general conditions (waiting time for dressing change, hospitalization time, and wound healing time) and wound healing grade were observed, and the pain degree (scored by the simplified McGill scale) and psychological state [evaluated by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS)] were compared between before intervention and on Day 5 of intervention. Results: The nursing satisfaction was higher and the waiting time for dressing change, hospitalization time and wound healing time were shorter in the observation group than those in the control group (P<0.05). On Day 5 of intervention, the present pain intensity, Visual Analogue Scale, pain rating index, SDS and SAS scores are seen declined in both groups compared with those before intervention, and they were lower in the observation group than those in the control group (P<0.05). The observation group had a higher wound healing grade than that of the control group (P<0.05). Conclusion: The fine cooperation program of doctor-nurse integration can shorten the waiting time for dressing change and hospitalization time.