Hunt Sharon D
Lead Advanced Nurse Practitioner/ANP Manager, Wellway Medical Group, Independent Specialist Wound care.
J Wound Care. 2018 Sep 2;27(9):620-630. doi: 10.12968/jowc.2018.27.9.620.
Clinicians across all health-care settings are challenged daily by wounds that are slow or static in healing due to time constraints, reduced resources and the negative impact upon the patient's quality of life (QoL). Community settings are particularly challenging due to the varied environments, patient social, psychological and financial constraints, and multi-clinician wound care monitoring. The aim of this clinical evaluation is to clinically evaluate bioactive soluble beta-glucan gel (BSBG) on those wounds that have stalled at four weeks as an adjunct to normal standards of care.
A clinical observational evaluation was undertaken within a large community setting, reviewing patients who self-presented with stalled healing/chronic wounds, and the effects upon adding a BSBG gel twice a week for eight weeks as part of their set standard care. Formulary cleansing and dressing products were continued and results monitored by a designated clinician. All data was collected as part of the patient's normal wound review routine in relation to primary outcome of wound reduction with secondary outcomes relating to pain reduction, slough and necrosis reduction, exudate reduction and adverse events.
At six months, analysis of data demonstrated >2-times a higher rate of healing in chronic wounds with eight weeks' initial treatment and >4-times a higher rate of healing over six months in those patients with ulceration (PU, VLU, DFU). A reduction of per patient care cost saving was achieved across the treatment group compared with the standard care retrospective group.
The administration of a wound healing gel within a moderate size cohort of patients presenting with chronic wounds resulted in improved wound reduction and significant cost savings.
在所有医疗环境中,临床医生每天都面临着伤口愈合缓慢或停滞的挑战,这是由于时间限制、资源减少以及对患者生活质量(QoL)的负面影响。社区环境尤其具有挑战性,因为环境多样、患者存在社会、心理和经济方面的限制,以及多临床医生对伤口护理的监测。本临床评估的目的是对那些四周后愈合停滞的伤口进行临床评估,将生物活性可溶性β-葡聚糖凝胶(BSBG)作为常规护理标准的辅助手段。
在一个大型社区环境中进行了一项临床观察性评估,对自我呈现愈合停滞/慢性伤口的患者进行了回顾,并观察了作为其既定标准护理的一部分,每周两次添加BSBG凝胶,持续八周的效果。继续使用配方清洁和敷料产品,并由指定的临床医生监测结果。所有数据均作为患者正常伤口复查程序的一部分收集,涉及伤口缩小的主要结果以及与疼痛减轻、腐肉和坏死减少、渗出物减少和不良事件相关的次要结果。
在六个月时,数据分析表明,初始治疗八周的慢性伤口愈合率提高了两倍多,而溃疡患者(压疮、静脉性腿部溃疡、糖尿病足溃疡)在六个月内的愈合率提高了四倍多。与标准护理回顾组相比,治疗组实现了每位患者护理成本的降低。
在一组患有慢性伤口的中等规模患者中使用伤口愈合凝胶,可改善伤口缩小情况并显著节省成本。