eCASH concept-based care for patients with small-area burns: a pilot randomized controlled trial.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2023-12-01

Qiuyan Fu, Yuhuan Qiu, Qin Xu, Yi Wu, Shuting Shi, Xiaoyu Tang, Shujun Fan, Linhong Zhu, Minlie Yang

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引用次数: 0

Abstract

Background: Small-area burn is a common but specific type of injury that can still lead to serious complications if not managed properly. Researchers have introduced a number of interventions.

Objective: The objective of this study was to compare the effects of eCASH concept-based care (ie, eBCare) with those of standard treatment on wound healing in patients with small-area burns.

Methods: In this prospective randomized controlled trial, patients with small-area burns received either eBCare (n = 35) or standard burn treatment (n = 35) for 2 weeks. Pain, anxiety, heart rate, exudate, and wound area were measured during and after dressing changes. Scar color and thickness were assessed 4 years or longer after discharge.

Results: The eBCare group had a lower median pain score, anxiety score, and heart rate compared with the control group (P < .001). The eBCare group also had a higher median wound healing rate on day 14 than the control group (P < .05). At follow-up 4 years or more after discharge, the eBCare group had better scar color and thickness than the control group (P < .05).

Conclusion: The use of eBCare reduced pain and anxiety, accelerated wound healing, and improved scar outcomes in patients with small-area burns, which suggests that eBCare may be a feasible option for this population.

本刊更多论文

为小面积烧伤患者提供基于 eCASH 概念的护理：随机对照试验。

背景：小面积烧伤是一种常见但特殊的损伤类型，如果处理不当，仍可能导致严重的并发症。研究人员引入了许多干预措施：本研究旨在比较基于 eCASH 概念的护理（即 eBCare）与标准治疗对小面积烧伤患者伤口愈合的影响：在这项前瞻性随机对照试验中，小面积烧伤患者接受了为期两周的 eBCare（35 人）或标准烧伤治疗（35 人）。在换药期间和换药后测量疼痛、焦虑、心率、渗出物和伤口面积。出院 4 年或更长时间后，对疤痕颜色和厚度进行评估：结果：与对照组相比，eBCare 组的中位疼痛评分、焦虑评分和心率均较低（P < .001）。eBCare 组第 14 天伤口愈合率的中位数也高于对照组（P < .05）。在出院后 4 年或更长时间的随访中，eBCare 组的疤痕颜色和厚度均优于对照组（P < .05）：使用 eBCare 可以减轻小面积烧伤患者的疼痛和焦虑，加速伤口愈合，改善疤痕效果，这表明 eBCare 可能是这一人群的可行选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.