Holloway Samantha, Bale Sue, Harding Keith, Robinson Barry, Ballard Kate
Wound Healing Research Unit, Cardiff Medicentre, Heath Park, Cardiff, Wales.
Ostomy Wound Manage. 2002 May;48(5):22-8.
Malodorous, exuding wounds can cause problems for patients in terms of discomfort and social isolation. A prospective, noncomparative, multicenter study was conducted to evaluate the effectiveness of an odor-controlling dressing in the management of patients with chronic and acute exuding, malodorous wounds. Forty-six patients with various malodorous wounds (mean duration prior to study entry of 231.6 weeks) participated in the study. The majority of the patients were > 65 years of age (mean 70.7 years). Wound characteristics, odor, and dressing exudate absorption were assessed at baseline and at every dressing change (total: 348 dressing changes). Overall assessment of the dressing's ability was rated as good or excellent for odor control (91% of patients), exudate management (82%), and overall comfort (86%). Patient and nurse perception of odor were similar. While appropriate treatment to address the cause of exudate and wound odor remains a priority, the results of this study suggest that discomfort and isolation may be reduced through the use of odor-control dressings.
散发恶臭的渗出性伤口会给患者带来不适和社交孤立方面的问题。一项前瞻性、非对照、多中心研究旨在评估一种控臭敷料在治疗慢性和急性渗出性恶臭伤口患者中的有效性。46例患有各种恶臭伤口的患者(研究入组前平均病程为231.6周)参与了该研究。大多数患者年龄>65岁(平均70.7岁)。在基线时以及每次更换敷料时(共348次更换敷料)评估伤口特征、气味和敷料渗出液吸收情况。对敷料能力的总体评估在气味控制(91%的患者)、渗出液管理(82%)和总体舒适度(86%)方面被评为良好或优秀。患者和护士对气味的感知相似。虽然针对渗出液和伤口气味原因进行适当治疗仍然是首要任务,但这项研究的结果表明,使用控臭敷料可能会减少不适和孤立感。