Negative pressure wound therapy for patients with hard-to-heal wounds: a systematic review
| Autor: | Johannes A. Wegdam, Anne M. Eskes, Hester Vermeulen, Tammo S. de Vries Reilingh, Alexandra H. J. Janssen |
|---|---|
| Přispěvatelé: | Surgery, Other Research |
| Rok vydání: | 2020 |
| Předmět: |
Pressure Ulcer
medicine.medical_specialty Nursing (miscellaneous) business.industry patients' experiences medicine.medical_treatment MEDLINE Negative pressure wound therapy wounds and injuries Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine quality of life systematic review Quality of life Negative-pressure wound therapy Humans Medicine Fundamentals and skills In patient 030212 general & internal medicine business Intensive care medicine Negative-Pressure Wound Therapy |
| Zdroj: | Journal of Wound Care, 29, 4, pp. 206-212 Journal of wound care, 29(4), 206-212. MA Healthcare Ltd Journal of Wound Care, 29, 206-212 |
| ISSN: | 0969-0700 |
| Popis: | Objective: Despite the lack of evidence, negative pressure wound therapy (NPWT) is commonly used in patients with hard-to-heal wounds. In our medical centre, one third of patients with abdominal wounds infected postoperatively end this therapy prematurely due to negative experiences and prefer standard wound care. This study was designed to explore the effects of NPWT on quality of life (QoL). Method: A search from 2000 to 2019 in eight databases was performed to identify qualitative studies of patients treated with NPWT. Studies were selected by two independent reviewers, who appraised the methodological quality, extracted and structured the data and performed content analysis. Results: A total of five qualitative studies with good methodological quality, incorporating 51 individual patients, were included. After content analysis, four major themes emerged: reduced freedom of movement caused by an electric device; decreased self-esteem; increased social and professional dependency; and gaining self-control. Conclusion: NPWT has major effects on the physical, psychological and social domains of QoL. Knowledge of these effects may lead to improved treatment decisions for patients with hard-to-heal wounds regarding use of NPWT or standard wound care. |
| Databáze: | OpenAIRE |
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