背景:慢性伤口对全世界的患者和护理团队提出了重大挑战。数字健康工具提供了更标准化和有效的护理途径的潜力,但需要进一步严格的评估。
目的:这项回顾性配对队列研究旨在比较数字追踪应用对伤口记录与传统人工护理评估的影响。
方法:分析了5236例不同类型伤口患者的数据。倾向得分匹配平衡组,和双变量测试,相关分析,线性回归,和Hayes\'过程宏模型15用于调解-调节模型。
结果:数字伤口追踪与愈合持续时间明显缩短相关(15与35天)和更少的诊所护理访问(3vs.5.8次)与标准护理监测相比。数字跟踪显示出随着时间的推移改善的伤口尺寸减小。测试的实验室值不能一致地预测愈合结果。数字跟踪与护理就诊总数呈中度负相关。回归分析确定了伤口的复杂性,住院治疗,和初始伤口大小作为糖尿病患者更多护理就诊的临床预测因子(p<0.01)。数字跟踪显著减少了外周血管疾病患者的相关护理访视次数。
结论:这些研究结果表明,数字化伤口管理可以简化护理并提供优势,特别是对于面临治疗负担的合并症人群。
■这项研究在报告这项观察性研究时遵循了STROBE指南。
结论:通过简化文档并可能缩短治疗时间,数字伤口追踪可以帮助优化护理资源,提高伤口护理标准,改善患者体验。这支持进一步探索数字健康创新,以推进循证护理实践。
■这项研究涉及对现有患者记录的回顾性分析,并且在设计中没有直接包括患者或公众,行为,或研究报告。
BACKGROUND: Chronic wounds present significant challenges for patients and nursing care teams worldwide. Digital health tools offer potential for more standardised and efficient nursing care pathways but require further rigorous evaluation.
OBJECTIVE: This retrospective matched cohort study aimed to compare the impacts of a digital tracking application for wound documentation versus traditional manual nursing assessments.
METHODS: Data from 5236 patients with various wound types were analysed. Propensity score matching balanced groups, and bivariate tests, correlation analyses, linear regression, and Hayes\' Process Macro Model 15 were utilised for a mediation-moderation model.
RESULTS: Digital wound tracking was associated with significantly shorter healing durations (15 vs. 35 days) and fewer clinic nursing visits (3 vs. 5.8 visits) compared to standard nursing monitoring. Digital tracking demonstrated improved wound size reduction over time. Laboratory values tested did not consistently predict healing outcomes. Digital tracking exhibited moderate negative correlations with the total number of nursing visits. Regression analysis identified wound complexity, hospitalizations, and initial wound size as clinical predictors for more nursing visits in patients with diabetes mellitus (p < .01). Digital tracking significantly reduced the number of associated nursing visits for patients with peripheral vascular disease.
CONCLUSIONS: These findings suggest that digital wound management may streamline nursing care and provide advantages, particularly for comorbid populations facing treatment burdens.
UNASSIGNED: This study adhered to STROBE guidelines in reporting this observational research.
CONCLUSIONS: By streamlining documentation and potentially shortening healing times, digital wound tracking could help optimise nursing resources, enhance wound care standards, and improve patient experiences. This supports further exploration of digital health innovations to advance evidence-based nursing practice.
UNASSIGNED: This study involved retrospective analysis of existing patient records and did not directly include patients or the public in the design, conduct, or reporting of the research.