Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (4) ; 10.12208/j.jacn.20260183 .
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航天中心医院内科三病房 北京
*通讯作者： 黄燕,单位：航天中心医院内科三病房 北京; ；
目的 分析多学科疼痛管理联合循证护理对老年慢性伤口患者干预的价值。方法 本文研究时间为2024年1月-2025年12月。研究对象为老年慢性伤口者。研究对象一共为66例，将其进行分组，分组方式为随机数表，分组内容为33例设定为对照组，33例设定为观察组。对照组与观察组采取的干预措施分别为常规护理管理与多学科疼痛管理联合循证护理。对比两组VAS评分与PUSH评分；伤口愈合时间、肉芽覆盖时间、住院时间、换药频率；护理配合度；护理满意度；生活质量。结果 VAS评分、PUSH评分、伤口愈合时间、肉芽覆盖时间、住院时间、换药频率、护理配合度、护理满意度、生活质量，观察组研究结果均更佳（P<0.05）。结论 多学科疼痛管理联合循证护理对老年慢性伤口患者干预的价值较大，可降低疼痛痛苦，加快伤口恢复，提高患者护理配合度和满意度，提高生活水平，值得推广采纳。
Objective To analyze the value of multidisciplinary pain management combined with evidence-based nursing in the intervention of elderly patients with chronic wounds. Methods This study was conducted from January 2024 to December 2025. The research subjects are elderly patients with chronic wounds. The total number of research subjects is 66, which will be grouped using a random number table. The grouping content includes 33 cases as the control group and 33 cases as the observation group. The intervention measures adopted by the control group and the observation group were routine nursing management and multidisciplinary pain management combined with evidence-based nursing. Compare two groups of VAS scores with PUSH scores; Wound healing time, granulation tissue coverage time, length of hospital stay, and frequency of dressing changes; Nursing cooperation; Nursing satisfaction; Quality of life. Results VAS score, PUSH score, wound healing time, granulation tissue coverage time, length of hospital stay, dressing change frequency, nursing cooperation, nursing satisfaction, and quality of life were all better in the observation group (P<0.05). Conclusion Multidisciplinary pain management combined with evidence-based nursing has great value in intervening in elderly patients with chronic wounds, reducing pain and suffering, accelerating wound recovery, improving patient nursing cooperation and satisfaction, and enhancing living standards. It is worth promoting and adopting.
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