Clinical Researcher, Hip and Knee Unit, 9830 Ghent, Belgium.
Data Scientist, moveUP, Cantersteen 47, 1000 Brussels, Belgium.
J Wound Care. 2024 Aug 2;33(Sup8):S17-S26. doi: 10.12968/jowc.2024.0198.
Orthopaedic surgery is an effective intervention for treating the symptoms of degenerative joint disease or osteoarthritis (OA). Frequent wound dressing changes, unless clinically indicated, can disrupt the healing process and increase the occurrence of incision site contamination. Protection from contamination is critical for surgical incisions and, therefore, undisturbed wound healing (UWH) in surgical wound management is vital. This article describes a retrospective study reporting the clinical performance of a self-adherent, absorbent postoperative dressing, with a focus on dressing wear time.
A single-centre, retrospective electronic medical record review of a convenience sample of adult patients treated with a dressing (Mepilex Border Post Op; Mölnlycke, Sweden) following elective hip or knee replacement was undertaken. Data relating to dressing wear time, rationale for dressing changes and patient-reported outcomes were extracted from a mobile health application moveUP Therapy (moveUP NV, Belgium). Health-related quality of life assessment was conducted using the EQ-5D-5L questionnaire and orthopaedic-specific quality of life (QoL) indicator tools.
Of the 558 records reviewed, 151 respondents (27.1%) reported outcomes relating to dressing wear time and frequency of dressing change. The average wear time of the first dressing was 13.6 days (second dressing: 5.3 days). The proportion of patients who wore the first dressing for 1-7 days, 8-13 days and for ≥14 days was 17.2%, 13.2% and 69.5%, respectively. Data from the completed questionnaires revealed improvement in QoL over time.
The results of this study are a good indicator of the suitability of the postoperative dressing for a 14-day wear time, in line with the principles of UWH.
矫形外科是治疗退行性关节疾病或骨关节炎（OA）症状的有效干预措施。频繁的伤口换药，除非临床需要，否则会干扰愈合过程并增加切口部位污染的发生。保护手术切口免受污染对于手术切口至关重要，因此，手术伤口管理中的未干扰伤口愈合（UWH）至关重要。本文描述了一项回顾性研究，报告了一种自粘、吸收性术后敷料的临床性能，重点是敷料的佩戴时间。
对接受髋关节或膝关节置换术后使用敷料（Mepilex Border Post Op；Mölnlycke，瑞典）的成年患者进行了一项单中心、回顾性电子病历回顾。从移动健康应用程序 moveUP Therapy（moveUP NV，比利时）中提取与敷料佩戴时间、更换敷料的理由和患者报告的结果相关的数据。使用 EQ-5D-5L 问卷和矫形特定的生活质量（QoL）指标工具进行健康相关生活质量评估。
在审查的 558 份记录中，有 151 名受访者（27.1%）报告了与敷料佩戴时间和更换敷料频率相关的结果。第一个敷料的平均佩戴时间为 13.6 天（第二个敷料：5.3 天）。佩戴第一个敷料 1-7 天、8-13 天和≥14 天的患者比例分别为 17.2%、13.2%和 69.5%。完成的问卷数据显示 QoL 随时间的改善。
这项研究的结果是该术后敷料适合佩戴 14 天的良好指标，符合 UWH 的原则。
