Patient Perceptions and Experiences With Maggot Debridement Therapy for Managing Chronic Wounds.

IF 1.7 3区 医学 Q2 NURSING
Beata Babiarczyk, Joanna Tobiczyk
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Abstract

Purpose: The purpose of this study was to describe patient experiences and satisfaction with use of maggot debridement therapy (MDT) for hard-to-heal wounds.

Design: Descriptive, cross-sectional study.

Subjects and setting: The sample comprised 60 participants, 60% were male (n = 36). Their mean age was 62.9 (SD = 20) years. Almost half of participants had lower extremity wounds (n = 26; 43.3%), diabetic foot ulcers (n = 18; 30%), and pressure injuries (n = 9; 15%). Most received maggot therapy via biobags (n = 36; 60%).

Methods: Participants completed a questionnaire designed for purposes of the study that queried demographic and pertinent clinical characteristics, current health status including current topical therapies, and duration of their chronic wound. Nine items queried emotional responses prior to MDT, the amount and method of the maggot therapy, discomfort experienced during therapy, and sources of information regarding this treatment.

Results: Emotional responses before starting MDT included disgust (n = 30, 50%), anxiety (n = 26, 43.3%), doubts about its effectiveness (n =20, 33.3%), and disbelief (n = 11, 18.3%). Approximately one-third of participants reported feelings of biting, itching, and fear of the maggots. Despite these feelings, a majority (n = 38, 63.3%) indicated that they were pleased with treatment outcome and willing to undergo additional MDT if needed.

Conclusions: While a majority of participants with nonhealing chronic wounds reported negative emotions association with MDT, more than half indicated that they were pleased with the outcome of treatment and willing to undergo repeat treatment if indicated.

患者对蛆虫清创疗法治疗慢性伤口的看法和体验。
目的:本研究旨在描述患者使用蛆虫清创疗法(MDT)治疗难愈合伤口的经历和满意度:描述性横断面研究:样本包括 60 名参与者,其中 60% 为男性(n = 36)。他们的平均年龄为 62.9 岁(SD = 20)。近一半的参与者有下肢伤口(26 人;43.3%)、糖尿病足溃疡(18 人;30%)和压力损伤(9 人;15%)。大多数人通过生物袋接受蛆虫治疗(36 人;60%):参与者填写了一份为研究目的而设计的调查问卷,调查内容包括人口统计学特征、相关临床特征、当前健康状况(包括当前的局部疗法)以及慢性伤口的持续时间。其中九个项目询问了患者在接受 MDT 治疗前的情绪反应、蛆虫治疗的量和方法、治疗过程中的不适感以及有关该疗法的信息来源:开始 MDT 前的情绪反应包括厌恶(30 人,占 50%)、焦虑(26 人,占 43.3%)、怀疑其有效性(20 人,占 33.3%)和不相信(11 人,占 18.3%)。约三分之一的参与者表示对蛆虫有咬感、瘙痒感和恐惧感。尽管有这些感觉,但大多数人(38 人,占 63.3%)表示对治疗结果感到满意,并愿意在必要时接受其他 MDT 治疗:结论:虽然大多数慢性伤口不愈合的参与者都表示与 MDT 相关的负面情绪,但超过一半的人表示对治疗结果感到满意,并愿意在必要时接受重复治疗。
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
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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