Naylor W
The Royal Marsden Hospital, Sutton, Surrey.
Br J Nurs. 2001 Mar;10(6 Suppl):S24-30. doi: 10.12968/bjon.2001.10.Sup1.5334.
Fungating wounds may present with a number of unpleasant symptoms such as malodour, high levels of exudate and pain. The cosmetic appearance of the wound, along with these associated symptoms, can be a significant cause of distress to patients. As a result of the fact that fungating wounds rarely heal, their management is based on symptom control, promoting comfort and maintaining or improving the patient's quality of life. The treatment of these wounds is generally palliative in nature and often involves the use of dressings or other topical products to control symptoms. This case study details the use of a new hydropolymer foam dressing (Tielle Plus) in the management of a large fungating breast wound. The dressing was clinically and cost effective, nursing staff found it easy to use, and the patient found it very comfortable and less noticeable under her clothing.
溃疡性伤口可能会出现一些令人不适的症状,如恶臭、大量渗液和疼痛。伤口的外观,连同这些相关症状,可能是患者痛苦的重要原因。由于溃疡性伤口很少愈合,其处理基于症状控制、促进舒适以及维持或改善患者的生活质量。这些伤口的治疗通常本质上是姑息性的,并且常常涉及使用敷料或其他局部产品来控制症状。本病例研究详细介绍了一种新型水凝胶泡沫敷料(Tielle Plus)在处理一个大型溃疡性乳房伤口中的应用。该敷料在临床和成本效益方面表现良好,护理人员发现其易于使用,患者也觉得它非常舒适,且在衣服下不太显眼。