Warriner Linda, Spruce Pam
County Durham and Darlington NHS Foundation Trust, UK.
Br J Nurs. 2012;21(5):S14-6, S18, S20 passim. doi: 10.12968/bjon.2012.21.Sup5.S14.
The development of overgranulation tissue around gastrostomy sites isa common problem. While there is little evidence to suggest that one treatment is more effective than another, a review of current practice suggests that there is an opportunity to improve clinical practice and patient outcomes in this area of care. The authors performed a simple practice-based audit to identify the extent of the problem within one geographical location. A care pathway approach was introduced,which reinforced the basic principles of care and encouraged the use of a 'double-foam' dressing on overgranulation tissue. A foam dressing impregnated with polyhexamethylene biguanide was used at the wound interface, providing a safe and effective alternative to managing overgranulation. Findings showed that a strategic approach to managing overgranulation tissue around gastrostomy devices can improve patient outcomes and clinical practice.
胃造口部位周围过度肉芽组织的形成是一个常见问题。虽然几乎没有证据表明一种治疗方法比另一种更有效，但对当前实践的回顾表明，在这一护理领域有机会改善临床实践和患者预后。作者进行了一项基于实践的简单审计，以确定一个地理位置内该问题的严重程度。引入了一种护理路径方法，强化了护理的基本原则，并鼓励在过度肉芽组织上使用“双层泡沫”敷料。在伤口界面使用浸渍有聚六亚甲基双胍的泡沫敷料，为处理过度肉芽组织提供了一种安全有效的替代方法。研究结果表明，对胃造口装置周围过度肉芽组织进行管理的策略性方法可以改善患者预后和临床实践。
