PDF(Pubmed)
Abstract：
The Wound Healing Foundation (WHF) recognised a need for an unbiased consensus on the best treatment of chronic wounds. A panel of 13 experts were invited to a virtual meeting which took place on 27 March 2021. The proceedings were organised in the sub-sections diagnosis, debridement, infection control, dressings, grafting, pain management, oxygen treatment, outcomes and future needs. Eighty percent or better concurrence among the panellists was considered a consensus. A large number of critical questions were discussed and agreed upon. Important takeaways included that wound care needs to be simplified to a point that it can be delivered by the patient or the patient\'s family. Another one was that telemonitoring, which has proved very useful during the COVID-19 pandemic, can help reduce the frequency of interventions by a visiting nurse or a wound care center. Defining patient expectations is critical to designing a successful treatment. Patient outcomes might include wound specific outcomes such as time to heal, wound size reduction, as well as improvement in quality of life. For those patients with expectations of healing, an aggressive approach to achieve that goal is recommended. When healing is not an expectation, such as in patients receiving palliative wound care, outcomes might include pain reduction, exudate management, odour management and/or other quality of life benefits to wound care.
摘要：
伤口愈合基金会（WHF）认识到需要就慢性伤口的最佳治疗达成公正的共识。由13名专家组成的小组应邀参加了2021年3月27日举行的虚拟会议。程序在诊断小节中组织，清创术,感染控制,敷料,嫁接,疼痛管理,氧气处理,结果和未来需求。小组成员之间80％或更高的同意被认为是共识。讨论并商定了大量关键问题。重要的要点包括伤口护理需要简化到可以由患者或患者家属提供的程度。另一个是远程监控，这在COVID-19大流行期间被证明非常有用，可以帮助减少来访护士或伤口护理中心的干预频率。定义患者期望对于设计成功的治疗至关重要。患者结果可能包括伤口特定结果，如愈合时间，伤口大小减小，以及生活质量的提高。对于那些期望康复的患者，建议采取积极的方法来实现这一目标。当治愈不是一种期望时，例如接受姑息性伤口护理的患者，结果可能包括疼痛减轻，渗出物管理，气味管理和/或其他生活质量对伤口护理的好处。
