Upright C A, Salton C, Roberts F, Murphy J
British Columbia (B.C.) Cancer Agency, Vancouver, Canada.
Cancer Nurs. 1994 Apr;17(2):149-55.
The care of chronic ulcerating metastatic skin lesions is not well established or supported by research. Because these cancerous lesions may be present for many years, patients and their caregivers are confronted with ongoing dressing care to control and prevent odor, bleeding, drainage, and infection. Eleven patients in this study compared Mesalt dressings (Sancella Incorporated, Oakville, Ontario, Canada) with continuous wet saline dressings using a crossover design. Results indicated that Mesalt dressings received significantly higher ratings when compared with continuous wet saline dressings for ease of application and odor control and were significantly preferred by patients. No significant differences were found for ease of removal and comfort of the dressing. Neither were there any significant differences in the occurrence of clinical infection, number of dressing changes, and time spent for the care of the lesion. Mesalt dressings were more expensive than continuous wet saline dressings, but benefits may outweight the costs.
慢性溃疡性转移性皮肤病变的护理方法尚未得到充分确立，也缺乏研究支持。由于这些癌性病变可能会存在多年，患者及其护理人员面临着持续的伤口敷料护理工作，以控制和预防异味、出血、渗液及感染。本研究中的11名患者采用交叉设计，将Mesalt敷料（加拿大安大略省奥克维尔市的Sancella公司生产）与持续湿盐水敷料进行了比较。结果表明，与持续湿盐水敷料相比，Mesalt敷料在应用便利性和异味控制方面的评分显著更高，且患者明显更青睐Mesalt敷料。在敷料去除的难易程度和舒适度方面未发现显著差异。在临床感染的发生率、换药次数以及护理病变所花费的时间方面也未发现显著差异。Mesalt敷料比持续湿盐水敷料更昂贵，但益处可能超过成本。
