Moloney Suzanne, Fitzgerald David, Roshan Davood, Gethin Georgina
Business and Innovation Centre, University of Galway, Galway, Ireland.
Salford Royal Hospital, Salford, UK.
J Wound Care. 2022 Nov 2;31(11):898-906. doi: 10.12968/jowc.2022.31.11.898.
It is theorised that adhesive-free wound care developed specifically for patients with hidradenitis suppurativa (HS) can improve their quality of life (QoL). Our study aimed to investigate the impact of a novel wound care device on Dermatology Life Quality Index (DLQI) scores, and other factors related to experienced pain, time spent changing dressings, comfort, ease of use and body image.
A 21-day, single-arm, unblinded, pilot trial was conducted to assess ease of use and the impact of effective wound care on various aspects of wound management in patients with HS. Participants were provided two trial garments and trial dressings as required, to use over a 21-day period in the home setting. A seven-item questionnaire and the DLQI questionnaire was completed on days 0, 7, 14 and 21.
All 15 participants were female, aged >18 years old and with a diagnosis of HS. Mean DLQI score at baseline (day 0) was 19.3, which was reduced to 4.53 on day 21, a significant improvement in 100% of participants (p<0.001). High levels of dressing-related pain, assessed using an 11-point Visual Analogue Scale, reduced from 5.53 at baseline to 0.8 on day 21. Other significant improvements in terms of patient comfort, time spent on changing dressings, body confidence and the dressing's ability to retain exudate were also noted.
The results illustrated the improvement made to study participants' day-to-day activities and QoL when effective HS-specific wound care products were provided. Wound care is an essential component in the treatment journey of patients.
从理论上来说,专门为化脓性汗腺炎(HS)患者开发的无粘性伤口护理方法能够改善他们的生活质量(QoL)。我们的研究旨在调查一种新型伤口护理设备对皮肤病生活质量指数(DLQI)评分的影响,以及与经历的疼痛、更换敷料所花费的时间、舒适度、易用性和身体形象相关的其他因素。
进行了一项为期21天的单臂、非盲、试点试验,以评估HS患者使用该设备的易用性以及有效伤口护理对伤口管理各个方面的影响。根据需要为参与者提供两件试验服装和试验敷料,让他们在家庭环境中使用21天。在第0、7、14和21天完成一份七项问卷和DLQI问卷。
所有15名参与者均为女性,年龄大于18岁,且被诊断为HS。基线(第0天)时的平均DLQI评分为19.3,在第21天降至4.53,100%的参与者有显著改善(p<0.001)。使用11点视觉模拟量表评估的与敷料相关的高水平疼痛,从基线时的5.53降至第21天的0.8。在患者舒适度、更换敷料所花费的时间、身体自信以及敷料保留渗出液的能力方面也有其他显著改善。
结果表明,当提供有效的HS特异性伤口护理产品时,研究参与者的日常活动和生活质量得到了改善。伤口护理是患者治疗过程中的一个重要组成部分。