International Journal of Nursing Research

Objective To explore the experience of skin management of kidney transplant patients after long-term moxibustion scalded skin grafting using lean concept nursing model. Methods The patients showed symptoms of local wound redness, swelling, exudation, erosion and ulcers, some of which were accompanied by infection and pain. A personalized, step-by-step care plan based on lean concepts, using wet wound healing techniques. Results Patients recovered effectively, avoided medical risks and safety hazards, guaranteed patient safety, and saved medical costs. Conclusion As a modern management concept, 5S lean management can improve the management level of medical quality and safety in modern hospitals. Kidney transplantation is currently the most ideal treatment for end-stage renal failure. Immunosuppressive agents are needed to prevent rejection for a long time after surgery. Inadequate or excessive immunosuppression may affect the quality of life of patients, and in severe cases, the life of patients is endangered. In particular, chronic wounds, surgical wounds, tissue necrosis and other infections are the main risk factors for death after kidney transplantation. Personalized, step-by-step nursing and the application of wound wet healing technology to promote wound healing can significantly improve the recovery efficiency of patients, which is conducive to comprehensively improving patients medical experience, and the high satisfaction of wound care services is worthy of wide application and promotion.

Lean concept; Nursing model; Kidney transplant patients; Moxibustion burn skin graft; Skin management