Andrews A, Upton D
Research Assistant; Institute of Health and Society, University of Worcester, UK.
Professor of Health Psychology, Institute of Health and Society, University of Worcester, UK.
J Wound Care. 2013 Dec;22(12):671-2,674,676-8 passim. doi: 10.12968/jowc.2013.22.12.671.
Negative pressure wound therapy (NPWT) is considered to be an effective wound treatment, yet research has highlighted a clear need for its improvement, particularly in reducing pain. This is important not only for patient well-being and treatment satisfaction but also for the healing process. In parts 1 and 2, wound care clinicians were invited to share their views on patients' experiences of NPWT. Part 3, presented here, explores the views of patients who have had NPWT, through use of a questionnaire survey and interview (n = 50). Findings show that the majority of patients felt that NPWT had a positive impact on their wound (94%) and that their overall experience was positive (88%). However, respondents identified a number of challenges associated with NPWT, such as reduced mobility, noise issues, and sleep disturbance. Respondents also identified a number of areas for improvement with NPWT, including greater training for nurses, practical alterations to the equipment, and methods of minimising pain and skin damage during NPWT. Taken together with the findings from part one and two, this study highlights several key considerations for future research and clinical practice with NPWT.
负压伤口治疗（NPWT）被认为是一种有效的伤口治疗方法，但研究表明，迫切需要对其进行改进，尤其是在减轻疼痛方面。这不仅对患者的健康和治疗满意度很重要，对伤口愈合过程也很重要。在第1部分和第2部分中，邀请了伤口护理临床医生分享他们对患者NPWT体验的看法。本文呈现的第3部分，通过问卷调查和访谈（n = 50），探讨了接受过NPWT治疗的患者的观点。研究结果表明，大多数患者认为NPWT对他们的伤口有积极影响（94%），并且他们的总体体验是积极的（88%）。然而，受访者指出了一些与NPWT相关的挑战，如行动不便、噪音问题和睡眠障碍。受访者还指出了NPWT需要改进的一些方面，包括对护士进行更多培训、对设备进行实际改造，以及在NPWT期间尽量减少疼痛和皮肤损伤的方法。结合第1部分和第2部分的研究结果，本研究突出了未来NPWT研究和临床实践的几个关键考虑因素。
