Krasner Diane L
Ostomy Wound Manage. 2002 May;48(5):38-43.
The etiology and management of wound pain for patients with vacuum-assisted closure devices can be complex. Patients, such as the patient with necrotizing fasciitis described in this case study, may experience all three types of pain described in the Chronic Wound Pain Experience Model--acute noncyclic, acute cyclic, and chronic. Strategies that include local wound management to reduce all three types of pain and holistic psychological care to reduce the ache and anguish that may accompany dressing change procedures may help provide comfort and reduce pain and suffering.
对于使用负压封闭引流装置的患者,伤口疼痛的病因及处理可能很复杂。像本案例研究中描述的坏死性筋膜炎患者等,可能会经历慢性伤口疼痛体验模型中所描述的三种疼痛类型——急性非周期性疼痛、急性周期性疼痛和慢性疼痛。包括局部伤口处理以减轻所有三种疼痛类型,以及进行整体心理护理以减轻换药过程中可能伴随的疼痛和痛苦等策略,可能有助于提供舒适感并减轻疼痛和痛苦。