CHẤN THƯƠNG LÓC DA PHỨC TẠP SAU TAI NẠN  GIAO THÔNG: KẾT QUẢ PHỐI HỢP LIÊN NGÀNH  TRONG CHĂM SÓC LẤY NGƯỜI BỆNH LÀM TRUNG TÂM

Quyên Nguyễn Thị Kim; Linh Trần Thụy Khánh

doi:10.59354/ydth175.2025.375

Keywords:

Complex degloving, interprofessional collaborative practice, patient-centered care

Abstract

Objective: To analyze the treatment outcomes and multidisciplinary patient centered care approach for a complex degloving injury caused by a traffic accident.

Case Presentation: A 56-year-old female patient sustained a degloving injury on her right upper limb following a traffic accident. After receiving initial treatment at Binh Phuoc Provincial Hospital for approximately two weeks, she was transferred to University Medical Center Ho Chi Minh City - Branch 2. The patient presented with extensive soft tissue loss involving nearly the entire arm and forearm, accompanied by fractures and joint dislocations. The treatment process included serial debridement, negative pressure wound therapy (NPWT), split-thickness skin grafting, wound management, and multidisciplinary supportive care.

Results: After six months of treatment, the wound achieved complete epithelialization, and the patient regained functional mobility. The close collaboration among multiple disciplines including surgeons, nurses, physical therapists, clinical pharmacists, and nutritionists played a crucial role in optimizing patient outcomes. Notably, the nursing team played a key role in coordinating pain management, wound care, and psychological support, significantly contributing to the patient’s recovery.

Conclusion: The successful wound healing and functional rehabilitation highlight the critical role of multidisciplinary collaboration and patient-centered care in managing complex degloving injuries.

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