研究美国医院使用软硅胶多层泡沫敷料处理渗出物的临床效果:是时候优化敷料更换频率了。

IF 1.4 4区 医学 Q3 DERMATOLOGY
Kelly McFee, Mandy Spitzer, Julie Murdoch
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引用次数: 0

摘要

背景:医院急诊环境中的急性和慢性伤口通常使用软硅酮多层泡沫敷料(SSMFD)进行处理。虽然许多硅酮多层泡沫软敷料的使用时间最长可达 7 天,但它们的更换频率往往更高:材料与方法:从医疗保健研究小组中筛选并招募医疗保健专业人员(HCPs)填写每份伤口数据采集表。报告的结果包括敷料穿戴时间、愈合率、敷料更换频率、用户满意度和不良事件。结果以汇总数据集的形式报告:共分析了 53 个伤口。结果:共分析了 53 例伤口,平均治疗时间为 23.83 天,平均每 2 到 3 天更换一次敷料。在分析的 53 例伤口中,98% 的伤口都使用了 SSMFD 上的唯一换药指标来指导换药频率。总体而言,21%的伤口完全愈合(11 例),70%的伤口有所改善(37 例),9%的伤口保持不变(5 例),0%的伤口恶化:在急诊环境中使用专有 SSMFD 的实际数据表明,SSMFD 可以优化换药方案,实现适当的换药频率,使伤口愈合不受影响,并最大限度地利用医护人员和敷料资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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.

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来源期刊
CiteScore
1.50
自引率
11.80%
发文量
77
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.
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