Barry Hill, Aby Mitchell, Agnieszka Szydlowska, Chrystal Sparks, Hannah Dunn, Harri Berry
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摘要

营养在伤口愈合中起着至关重要的作用,影响着伤口恢复的速度和质量。伤口愈合过程包括止血、炎症、增殖和重塑,每个过程都依赖于特定的营养物质。本文总结了当前有关营养在伤口愈合中作用的文献,重点关注关键营养素:蛋白质、维生素(A、C、E、K)和矿物质(锌、铁、铜、锰),这些营养素对胶原蛋白合成、免疫功能和细胞活动至关重要。护士在评估营养状况、实施饮食干预以及向患者和护理人员宣传营养在伤口护理中的重要性方面发挥着关键作用。实用的策略包括个性化饮食计划、合理使用营养补充剂以及定期监测营养摄入量和伤口愈合进度。虽然营养对伤口愈合的益处已得到充分证实,但挑战依然存在,尤其是压力性损伤以外的证据有限,以及无缺陷补充剂的功效有限。多学科方法对于优化营养支持和改善患者伤口愈合效果至关重要。
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The role of nutrition in wound healing and implications for nursing practice.

Nutrition plays a vital role in wound healing, influencing both the speed and quality of recovery. The wound healing process encompasses haemostasis, inflammation, proliferation, and remodelling, each reliant on specific nutrients. This article summarises the current literature on the role of nutrition in wound healing, focusing on key nutrients: proteins, vitamins (A, C, E, K), and minerals (zinc, iron, copper, manganese), essential for collagen synthesis, immune function, and cellular activity. Nurses are pivotal in assessing nutritional status, implementing dietary interventions, and educating patients and caregivers about the importance of nutrition in wound care. Practical strategies include personalised dietary plans, appropriate use of nutritional supplements, and regular monitoring of nutritional intake and wound healing progress. Although the benefits of nutrition in wound healing are well established, challenges persist, particularly in the limited evidence beyond pressure injuries and the constrained efficacy of supplementation without deficiencies. A multidisciplinary approach is critical to optimise nutritional support and improve patient outcomes in wound healing.

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