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在处理中度至极高渗出性伤口患者时超吸收性敷料的处理特性

Handling properties of a superabsorbent dressing in the management of patients with moderate-to-very high exuding wounds.

作者信息

Münter Karl-Christian, De Lange Stefanie, Eberlein Thomas, Andriessen Anneke, Abel Martin

机构信息

Hamburg, Germany.

Lohmann & Rauscher GmbH & Co. KG, Westerwaldstrasse 4, 56579 Rengsdorf, Germany.

出版信息

J Wound Care. 2018 Apr 2;27(4):246-253. doi: 10.12968/jowc.2018.27.4.246.

Abstract

OBJECTIVE

Exudate control is an important aspect of wound management in both acute and chronic wounds. Exudate can be an indicator of the wound bed condition, specifically inflammation and infection. This study aimed to evaluate the performance, in terms of usability, handling properties, exudate management, user satisfaction and patient comfort, in daily clinical practice, of a superabsorbent dressing, Vliwasorb Pro (Lohmann & Rauscher), suitable for the management of moderate-to-very high exudate levels.

METHOD

The user test was conducted between September 2016 and July 2017, with clinicians from different specialisms in 55 centres across Germany. Both the dressing and user test were supplied by the sponsor. The superabsorbent dressing was used for at least three dressing changes, with frequency dependent on the patient and wound condition.

RESULTS

A total of 55 clinicians recruited 171 patients with various wound types. The clinicians rated dressing application as 'easy' for 163 (95.3%) of the patients. The dressing was rated as easy to remove (168 (98.3%) and, according to clinicians, did not soil patients' clothing in 165 (97.1%) of cases. The dressing demonstrated a 'good absorbent capacity', as noted by clinicians in 167 (98.2%) of cases. Clinicians also commented that the dressing reduced foul odour, maceration and improved periwound skin condition.

CONCLUSION

The evaluated dressing was easy to use, comfortable and reliable for patients with moderate-to-very high exuding wounds. In view of these results, superabsorbent dressings seem to be interesting for both clinicians and patients. Clinical studies are required to confirm these results.

摘要

目的

在急性和慢性伤口的处理中,渗出液控制是伤口管理的一个重要方面。渗出液可以作为伤口床状况的一个指标,特别是炎症和感染情况。本研究旨在评估一种适用于中到非常高渗出液水平管理的高吸水性敷料Vliwasorb Pro(罗曼 & 劳舍尔公司)在日常临床实践中的性能,包括可用性、操作特性、渗出液管理、用户满意度和患者舒适度。

方法

用户测试于2016年9月至2017年7月期间在德国55个中心的不同专业临床医生中进行。敷料和用户测试均由赞助商提供。高吸水性敷料至少使用三次换药,频率根据患者和伤口情况而定。

结果

共有55名临床医生招募了171名患有各种伤口类型的患者。临床医生对163名(95.3%)患者的敷料应用评价为“容易”。该敷料被评为易于去除(168名患者,98.3%),并且据临床医生称,在165例(97.1%)病例中未弄脏患者衣物。临床医生在167例(98.2%)病例中指出该敷料具有“良好的吸收能力”。临床医生还评论说,该敷料减少了恶臭味、浸渍,并改善了伤口周围皮肤状况。

结论

对于中到非常高渗出性伤口的患者,所评估的敷料易于使用、舒适且可靠。鉴于这些结果,高吸水性敷料对临床医生和患者似乎都很有吸引力。需要进行临床研究来证实这些结果。

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