Negative pressure wound therapy versus standard wound care on quality of life: a systematic review
| Autor: | Joy Notter, T. S. de Vries Reilingh, E. H. H. Mommers, Alexandra H. J. Janssen, Johannes A. Wegdam |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Nursing (miscellaneous) medicine.medical_treatment MEDLINE CINAHL Anxiety 030230 surgery 030207 dermatology & venereal diseases 03 medical and health sciences Wound care 0302 clinical medicine Quality of life Negative-pressure wound therapy medicine Humans Intensive care medicine Wound Healing integumentary system business.industry Checklist Surgery Treatment Outcome Search terms Wound dressing Quality of Life Wounds and Injuries Fundamentals and skills business Negative-Pressure Wound Therapy |
| Zdroj: | Journal of Wound Care. 25:154-159 |
| ISSN: | 2052-2916 0969-0700 |
| DOI: | 10.12968/jowc.2016.25.3.154 |
| Popis: | Objective: Negative pressure wound therapy (NPWT) is a widely accepted treatment modality for open or infected wounds. Premature ending of NPWT occasionally occurs due to negative effects on the quality of life (QoL), however, the actual impact on QoL is unknown. The aim of this review is to analyse the effect of NPWT versus standard wound care (SWC) on QoL when used for the treatment of open or infected wounds. Method: A systematic literature search in a range of databases (PubMed, CINAHL, Medline, Web of Science, Science Direct Freedom Collection, SwetsWise, PSYCArticles and Infrotrac Custom Journals) using the following search terms; ‘standard wound care’, ‘wound dressing’, ‘dressing’, ‘treatment’, OR ‘negative pressure wound therapy [MESH]’, OR ‘vacuum assisted closure’ AND ‘quality of life [MESH]’, ‘patient-satisfaction’, OR ‘experiences’ was performed. Methodological quality was assessed using the methodological index for non-randomised studies (MINORS) checklist. Results: There were 42 studies identified, five matched the inclusion criteria: two randomised clinical trials (RCTs), one clinical comparative study, one exploratory prospective cohort study and one quasi experimental pilot study. Median MINORS-score was 75% (58%–96%). There were seven different questionnaires used to measure QoL or a subsidiary outcome. QoL in the NPWT group was lower in the first week, though no difference in QoL was observed thereafter. Conclusion: This systematic review observed that QoL improved at the end of therapy independent of which therapy was used. NPWT led to a lower QoL during the first week of treatment, possible due to aniexty, after which a similar or better QoL was reported when compared with SWC. It could be suggested that NPWT might be associated with increased anxiety. Declaration of interest: All authors of this publication have received no financial support or have personal interests conflicting with the objectivity of this manuscript. |
| Databáze: | OpenAIRE |
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