Tandler Suzanne, Stephen-Haynes Jackie
Tissue Viability Nurse. Worcestershire Health & Care NHS Trust.
Professor in Tissue Viability, Professional Development Unit, Birmingham City University and Consultant Nurse, Worcestershire Health and Care NHS.
Br J Nurs. 2017 Jun 22;26(12 Suppl):S6-S14. doi: 10.12968/bjon.2017.26.12.S6.
This article defines fungating wounds and considers the underlying cause, location and presentation. The clinical challenges presented by fungating wounds are discussed, with reference to evidence-based care delivery. This includes wound assessment, cleansing, debridement and management of malodour, infection, bleeding and exudate. Guidance on the use of wound management dressings is considered in relation to symptom management. The importance of clinical decision-making and educational preparation in the delivery of evidenced-based care for those with fungating wounds is emphasised. A conclusion is made that the clinician can support the patient with a fungating wound by the delivery of evidenced-based care.
本文对溃疡性伤口进行了定义，并探讨了其潜在病因、发生部位及表现。文中讨论了溃疡性伤口带来的临床挑战，并参考了循证护理实践。这包括伤口评估、清洁、清创以及对恶臭、感染、出血和渗液的处理。针对症状管理，文中考虑了伤口处理敷料的使用指南。强调了临床决策和教育准备在为溃疡性伤口患者提供循证护理中的重要性。得出的结论是，临床医生可以通过提供循证护理来支持患有溃疡性伤口的患者。
