Brandon Tanya
Plastics Nurse Specialist, St John's Hospital, Livingston.
Br J Nurs. 2015;24(2):98, 100-6. doi: 10.12968/bjon.2015.24.2.98.
Negative-pressure wound therapy (NPWT) imparts a number of clinical effects that promote a healing response and, as such, is a well-established means of treating a variety of wound types. Historically, the technique has been primarily used in the hospital setting; however, the introduction of more portable devices has led to an increase in the use of NPWT in the homecare setting, thereby facilitating early discharge of patients from hospital and continuity of care in the community. Portable NPWT devices also have the potential to impact positively on patients' quality of life, allowing increased mobility and freedom to undertake normal activities of daily living. Following the development of its standard Avance® NPWT system and associated dressing kits, Mölnlycke Health Care (Gothenburg, Sweden) has introduced a single-patient-use, disposable NPWT system; Avance Solo. This has been developed with a view to maximising patient freedom and mobility, providing a single-patient-use NPWT solution for multi-week treatment to allow quick and easy discharge of patients from hospital to home, and reducing some of the challenges of logistics and administration associated with the provision of NPWT for the caregiver. As with the standard NPWT system, the single-patient use system is supplied with a number of products incorporating Safetac® adhesive technology to minimise the risk of patients suffering unnecessary pain and trauma associated with dressing changes. This article presents a series of case studies describing procedures and outcomes following the application of the Avance Solo single-patient-use system.
负压伤口治疗(NPWT)具有多种促进愈合反应的临床效果,因此是治疗多种伤口类型的成熟方法。从历史上看,该技术主要用于医院环境;然而,更便携设备的推出导致NPWT在家庭护理环境中的使用增加,从而促进患者早日出院并在社区中实现护理的连续性。便携式NPWT设备还有可能对患者的生活质量产生积极影响,使患者活动能力增强,能够更自由地进行日常生活活动。在其标准的Avance® NPWT系统及相关敷料套件研发之后,莫林医疗保健公司(瑞典哥德堡)推出了一种仅供单人使用的一次性NPWT系统;Avance Solo。其研发目的是最大限度地提高患者的自由度和活动能力,为为期数周的治疗提供单人使用的NPWT解决方案,以便患者能快速轻松地从医院出院回家,并减少护理人员在提供NPWT时面临的一些后勤和管理挑战。与标准NPWT系统一样,单人使用系统配备了多种采用Safetac® 粘合技术的产品,以尽量减少患者在更换敷料时遭受不必要疼痛和创伤的风险。本文介绍了一系列病例研究,描述了应用Avance Solo单人使用系统后的操作过程和结果。