Upton D, Stephens D, Andrews A
Institute of Health and Society, University of Worcester, Henwick Grove, St Johns, Worcester, UK.
J Wound Care. 2013 Jan;22(1):34-9. doi: 10.12968/jowc.2013.22.1.34.
To review the research on patients' experiences of undergoing negative pressure wound therapy (NPWT).
A literature search was carried out using the following databases: Academic Search Complete, CINAHL, PsychINFO, MEDLINE, PubMed and PsyARTICLES. The search covered the period from 2001 to 2012, using the key words: ['negative pressure wound therapy' OR 'vacuum-assisted closure' OR 'topical negative therapy'] AND ['patients' experiences' OR 'psychological' OR 'stress' OR 'anxiety' OR 'wellbeing' OR 'pain' OR 'quality of life' OR 'physical'].
Twenty-five relevant articles were included. NPWT is generally considered to be successful in reducing wound depth and facilitating healing. However, studies have highlighted a number of issues that need to be considered. For example, the type of dressing used during treatment can have a significant effect on patients' experience of pain. Furthermore, the NPWT system can cause patients to feel anxious due to both the patient and the health professional being unfamiliar with this form of treatment. It can also restrict patients' daily care and wider social life, which may result in a negative self-image and low self-esteem. Despite this, some studies have reported positive improvements to patients' quality of life. Additionally, since NPWT can lead to faster healing, any detrimental impact upon patients' wellbeing may be short-term and less prolonged than that of other treatments.
Compared with other treatments, there is evidence to show that NPWT can lead to faster wound healing, and a reduced frequency of dressing changes and other treatments. However, there are a number of challenges with the use of NPWT, which need to be explored further so that improvements can be made. Specifically, certain aspects of NPWT may impact negatively on patients' wellbeing, albeit short-term. Therefore, research needs to explore patients' experience of NPWT throughout the treatment process and to consider how this can be improved to minimise any negative effects.
回顾关于患者接受负压伤口治疗（NPWT）体验的研究。
使用以下数据库进行文献检索：《学术搜索完整版》《护理学与健康领域数据库》《心理学文摘数据库》《医学索引数据库》《医学期刊数据库》和《心理学全文期刊数据库》。检索涵盖2001年至2012年期间，关键词为：['负压伤口治疗' 或 '真空辅助闭合' 或 '局部负压治疗'] 以及 ['患者体验' 或 '心理' 或 '压力' 或 '焦虑' 或 '幸福感' 或 '疼痛' 或 '生活质量' 或 '身体']。
纳入了25篇相关文章。NPWT一般被认为在减少伤口深度和促进愈合方面是成功的。然而，研究强调了一些需要考虑的问题。例如，治疗期间使用的敷料类型会对患者的疼痛体验产生重大影响。此外，由于患者和医护人员对这种治疗形式不熟悉，NPWT系统会使患者感到焦虑。它还会限制患者的日常护理和更广泛的社交生活，这可能导致负面的自我形象和低自尊。尽管如此，一些研究报告了患者生活质量的积极改善。此外，由于NPWT可导致更快愈合，对患者幸福感的任何不利影响可能是短期的，且比其他治疗的影响持续时间更短。
与其他治疗相比，有证据表明NPWT可导致更快的伤口愈合，以及换药和其他治疗频率的降低。然而，使用NPWT存在一些挑战，需要进一步探索以进行改进。具体而言，NPWT的某些方面可能对患者的幸福感产生负面影响，尽管是短期的。因此，研究需要探索患者在整个治疗过程中对NPWT的体验，并考虑如何加以改善以尽量减少任何负面影响。
