2026-10-26 · 原文发表于 2021-05-01
慢性创面负担持续增加,COVID-19影响创面护理模式
Sen CK.. Human Wound and Its Burden: Updated 2020 Compendium of Estimates. Advances in wound care. 2021;10(5):281-292. doi:10.1089/wound.2021.0026. PMID:33733885.
查看原始文献(Europe PMC · 创面修复近十年核心候选归档)↗研究问题
慢性创面影响美国近2.5%的人口,对生活质量及医疗费用有显著影响。随着人口老龄化、糖尿病和肥胖的增加,慢性创面问题持续加重。同时,COVID-19大流行对医疗系统造成冲击,也影响了创面护理的实践。
研究设计
主要发现
如何理解
局限与不确定性
一句话带走
慢性创面是持续增长的公共卫生问题,其社会和经济负担显著。COVID-19大流行推动了创面护理模式的变革,但这些变化的有效性尚需进一步研究验证。
术语小注
- 慢性创面:
- 指愈合过程持续超过4周的创面,常与糖尿病、血管疾病等合并症相关。
- 社会决定因素:
- 影响健康结果的社会、经济和环境因素,如收入、教育、住房等。
- 远程医疗:
- 通过信息技术提供医疗咨询和护理服务,尤其在疫情期间被广泛采用。
- 生活质量:
- 个体对其健康状况、社会关系和日常活动满意度的主观评价。
- 合并症:
- 患者同时患有多种疾病,可能影响治疗效果和预后。
- SARS-CoV-2:
- 导致COVID-19的病毒,可引起严重呼吸系统疾病。
展开原文摘要
Significance: Chronic wounds impact the quality of life (QoL) of nearly 2.5% of the total population in the United States and the management of wounds has a significant economic impact on health care. Given the aging population, the continued threat of diabetes and obesity worldwide, and the persistent problem of infection, it is expected that chronic wounds will continue to be a substantial clinical, social, and economic challenge. In 2020, the coronavirus disease (COVID) pandemic dramatically disrupted health care worldwide, including wound care. A chronic nonhealing wound (CNHW) is typically correlated with comorbidities such as diabetes, vascular deficits, hypertension, and chronic kidney disease. These risk factors make persons with CNHW at high risk for severe, sometimes lethal outcomes if infected with severe acute respiratory syndrome coronavirus 2 (pathogen causing COVID-19). The COVID-19 pandemic has impacted several aspects of the wound care continuum, including compliance with wound care visits, prompting alternative approaches (use of telemedicine and creation of videos to help with wound dressing changes among others), and encouraging a do-it-yourself wound dressing protocol and use of homemade remedies/substitutions. Recent Advances: There is a developing interest in understanding how the social determinants of health impact the QoL and outcomes of wound care patients. Furthermore, addressing wound care in the light of the COVID-19 pandemic has highlighted the importance of telemedicine options in the continuum of care. Future Directions: The economic, clinical, and social impact of wounds continues to rise and requires appropriate investment and a structured approach to wound care, education, and related research.
本站中文摘要:这篇更新性综述汇编了人体创面负担的估计,指出慢性创面影响美国近2.5%总人口的生活质量,并带来显著卫生经济负担。文章指出,糖尿病、血管功能缺陷、高血压和慢性肾病等共病通常与慢性不愈合创面相关;2020年新冠疫情扰乱了全球创面照护,包括就诊依从性、换药方式及远程医疗应用。文章还讨论了健康社会决定因素对创面照护结局的影响,并提出需要加强创面照护、教育和相关研究投入。