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考察软硅胶多层泡沫敷料在美国家庭医院中用于渗出液管理的临床效果:是时候优化更换敷料的频率了。

Examining the clinical outcomes of a soft silicone multilayer foam dressing for exudate management in US hospitals: it is time to optimize dressing change frequency.

机构信息

Astria Health Wound Care and Hyperbaric Medicine, Sunnyside, WA, US.

Global Clinical and Medical Affairs, Smith and Nephew, Fort Worth, TX, US.

出版信息

Wounds. 2024 Sep;36(9):290-296. doi: 10.25270/wnds/24110.

DOI:10.25270/wnds/24110
PMID:39378346
Abstract

BACKGROUND

Acute and chronic wounds in the acute hospital setting are commonly managed with soft silicone multilayer foam dressings (SSMFDs). While many SSMFDs are indicated for wear time of up to 7 days, they are often changed more frequently.

OBJECTIVE

To use real-world data on dressing change practices and clinical outcomes to examine whether a built-in indicator on a proprietary SSMFD could reduce unnecessary dressing changes.

MATERIALS AND METHODS

Health care professionals (HCPs) were screened and recruited from a health care research panel to complete per wound data capture forms. Outcomes reported included dressing wear time, healing rates, dressing change frequency, user satisfaction, and adverse events. Outcomes were reported as an aggregated data set.

RESULTS

A total of 53 wounds were analyzed. The mean treatment period was 23.83 days, which included dressing changes every 2 to 3 days on average. Of the 53 cases analyzed, the unique change indicator on the SSMFD was used to guide dressing change frequency 98% of the time. Overall, 21% of wounds completely healed (n = 11), 70% (n = 37) showed improvement, 9% (n = 5) were static, and 0% deteriorated.

CONCLUSION

Real-world data on use of the proprietary SSMFD in an acute setting indicates that the SSMFD can allow for the optimization of dressing change protocols to enable appropriate dressing change frequency, allowing for undisturbed healing and maximizing HCP and dressing resources.

摘要

背景

在急性医院环境中,急性和慢性伤口通常使用软硅胶多层泡沫敷料(SSMFD)进行管理。虽然许多 SSMFD 的佩戴时间可达 7 天,但通常会更频繁地更换。

目的

利用关于敷料更换实践和临床结果的真实数据,研究专有 SSMFD 上的内置指示是否可以减少不必要的敷料更换。

材料和方法

从医疗保健研究小组筛选并招募医疗保健专业人员(HCP)以完成每个伤口的数据采集表。报告的结果包括敷料佩戴时间、愈合率、敷料更换频率、用户满意度和不良事件。结果作为汇总数据集报告。

结果

共分析了 53 个伤口。平均治疗期为 23.83 天,平均每 2-3 天更换一次敷料。在分析的 53 例中,SSMFD 上的独特更换指示被用来指导敷料更换频率,98%的情况下使用了该指示。总体而言,21%的伤口完全愈合(n=11),70%(n=37)显示改善,9%(n=5)情况稳定,0%恶化。

结论

专有 SSMFD 在急性环境中的使用的真实数据表明,SSMFD 可以优化敷料更换方案,以实现适当的敷料更换频率,从而实现无干扰愈合,并最大限度地利用 HCP 和敷料资源。

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