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高吸水性敷料对难愈合溃疡的影响:来自荷兰和英国的多中心病例系列研究

Influence of superabsorbent dressings on non-healing ulcers: a multicentre case series from the Netherlands and the UK.

作者信息

van Leen M, Rondas A, Neyens J, Cutting K, Schols J M G A

机构信息

Avoord Zorg en Wonen, Etten-Leur, the Netherlands.

出版信息

J Wound Care. 2014 Nov;23(11):543-4, 546, 548-50. doi: 10.12968/jowc.2014.23.11.543.

Abstract

OBJECTIVE

To record and assess the application and the progression of wound healing in patients who received Sorbion sachet S or Sorbion Sana wound dressings.

METHOD

A convenience sample of patients with chronic wounds was recruited from nursing homes or community wound clinics in the Netherlands and the UK. Wound surface area measurements, pain assessment using a visual analogue scale score, patient affect (mood) and social interaction were recorded using a specifically designed evaluation template.

RESULTS

Pressure ulcer (PU) (n=11) and leg ulcer (LU) (n=20) patients had a mean age of 64.6 years and 71.7 years, respectively. Mean PU surface area decreased from 15.27 cm² in week 0 to 7.63 cm² in week 8, while mean LU surface area decreased from 19.43 cm² in week 0 to 7.19 cm² in week 8. Mean PU pain decreased from 3.69 in week 0 to 0.67 in week 8, while pain at dressing change decreased from 3.23 in week 0 to 0.75 in week 8. Furthermore, mean LU pain decreased from 3.45 in week 0 to 1.90 in week 8, and pain at dressing change decreased from 3.4 in week 0 to 1.3 in week 8. The number of patients experiencing a negative influence of the PU on affect reduced from 6 in week 0 to 2 in week 8 and on social interaction from 6 in week 0 to 2 in week 8. The number of patients experiencing a negative influence of their LU on affect reduced from 7 in week 0 to zero in week 8 and on social interaction from 7 in week 0 to 2 in week 8.

CONCLUSION

This case series records the response of patients' chronic wounds in terms of wound progress, patient pain and additional psycho-social factors following the application of the superabsorbent dressings and indicates that the dressings have a positive role to play in creating an environment conductive to the promotion of healing in LUs and PUs.

摘要

目的

记录并评估使用索比恩吸收性明胶海绵或索比恩萨纳伤口敷料的患者伤口愈合的应用情况及进展。

方法

从荷兰和英国的养老院或社区伤口诊所招募慢性伤口患者的便利样本。使用专门设计的评估模板记录伤口表面积测量值、采用视觉模拟量表评分进行疼痛评估、患者情绪(心情)和社交互动情况。

结果

压疮(PU)患者(n = 11)和腿部溃疡(LU)患者(n = 20)的平均年龄分别为64.6岁和71.7岁。PU平均表面积从第0周的15.27平方厘米降至第8周的7.63平方厘米,而LU平均表面积从第0周的19.43平方厘米降至第8周的7.19平方厘米。PU平均疼痛程度从第0周的3.69降至第8周的0.67,换药时疼痛从第0周的3.23降至第8周的0.75。此外,LU平均疼痛程度从第0周的3.45降至第8周的1.90,换药时疼痛从第0周的3.4降至第8周的1.3。经历PU对情绪产生负面影响的患者数量从第0周的6例降至第8周的2例,对社交互动产生负面影响的患者数量从第0周的6例降至第8周的2例。经历LU对情绪产生负面影响的患者数量从第0周的7例降至第8周的零例,对社交互动产生负面影响的患者数量从第0周的7例降至第8周的2例。

结论

本病例系列记录了患者慢性伤口在应用高吸水性敷料后的伤口进展、患者疼痛及其他心理社会因素方面的反应,表明该敷料在营造有利于促进LU和PU愈合的环境方面具有积极作用。

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