慢性傷口之評估與測量原則

The Principles of Chronic Wound Assessment and Measurement

隨著人口結構老年化，慢性疾病已成為健康照護的主軸。慢性傷口如壓瘡、糖尿病足潰瘍傷口、靜脈潰瘍傷口、動脈潰瘍傷口常伴隨慢性疾病發生，甚而引發系統性及骨骼感染，耗費醫療資源，對病患及家屬生活品質影響甚鉅，為此本文之目的在於增進護理人員對於各種複雜慢性傷口處置評估的新知，進而運用在其他健康照護系統。內容將涵蓋病患評估、慢性傷口評估、傷口分類系統確認重要的影響因素、描述肉眼可見癒合指標、了解不同傷口分類系統、應用傷口癒合評估工具及疼痛評估，透過系統性說明將有助於護理人員在慢性傷口處置之知能，期許護理人員能積極參與傷口處置，正確執行其應負的角色功能，進而提升病患慢性傷口處置品質，並減少醫療資源耗費之具體成效。

The management of chronic diseases in the elderly population is a major challenge for professional nurses. Chronic wounds, such as pressure ulcers, diabetic foot ulcers, venous ulcers, and arterial ulcers are common problems among patients with chronic diseases. This article aims to improve the knowledge base of nurses who assess and identify the etiology of chronic wounds, in the hope that an improved pool of knowledge can be drawn upon and applied in clinical practice. The article discusses patient assessment, chronic wound assessment, assessment of healing, and wound classification systems that can provide a structured approach to the management of chronic wounds. It provides a rational and systematic approach to both assessment and management that is particularly useful in the management of non-healing wounds. It can be used as a source of reference for nurses in the organization of wound management plans and the provision of better care for patients.