Foster L, Moore P
Department of Effective Healthcare, Scunthorpe Hospital, NHS Trust, North Lincolnshire.
Br J Nurs. 1999;8(4):200-2, 204, 206 passim. doi: 10.12968/bjon.1999.8.4.6694.
The third article in this series on surgical wound care discusses the types of dressings currently available, and selection of the correct dressing for a particular wound type. There is an abundance of information on the types of dressings available. Wound management for the individual patient must be decided using best evidence and taking into account patients' increased involvement in their care, new technology and the push to mobilize early, leading to early discharge from hospital. The nurse needs to have a good knowledge of the types of dressings available, the properties of individual dressings and a sound understanding of wound healing, in order to make an informed decision on wound management. General factors such as safety, comfort, pain management and convenience must be borne in mind when deciding which dressing is the best for individual patients, given that dressings now have to be cost-effective as well as clinically effective.
本系列关于手术伤口护理的第三篇文章讨论了目前可用的敷料类型，以及针对特定伤口类型选择正确的敷料。关于可用敷料类型的信息非常丰富。必须依据最佳证据，并考虑到患者对自身护理的更多参与、新技术以及早期活动以实现早期出院的推动因素，来为个体患者做出伤口管理决策。护士需要充分了解可用的敷料类型、每种敷料的特性，并对伤口愈合有透彻的理解，以便就伤口管理做出明智的决策。在决定哪种敷料最适合个体患者时，必须牢记安全、舒适、疼痛管理和便利性等一般因素，因为现在敷料不仅要具有临床效果，还必须具有成本效益。
