Effectiveness of negative-pressure wound therapy compared to wet-dry dressing in pressure injuries


Şahin E., RIZALAR S., Özker E.

Journal of Tissue Viability, cilt.31, sa.1, ss.164-172, 2022 (SCI-Expanded, SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1016/j.jtv.2021.12.007
  • Dergi Adı: Journal of Tissue Viability
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.164-172
  • Anahtar Kelimeler: Negative-pressure wound therapy, Pressure injuries, Vacuum-assisted closure, Wound care, Wound measurement
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

This study aims to compare the effects of Negative-Pressure Wound Therapy (NPWT) and wet-to-dry dressing on Stages 3 and 4 pressure injuries (PI), This study is a randomized controlled trial. A total of 30 patients with Stages 3 and 4 pressure injuries were included in the study. The patients were divided into two groups: NPWT group and the wet-to-dry dressing group. All patients received 3 rounds of treatment. Data were collected with a Patient Identification Form, Pressure Ulcer Scale for Healing (PUSH) Tool and the findings of the Three-Dimensional Wound Measurement (3DWM) device. We found that granulation tissue formation was more significant in the experimental group (p <.05), and that there was more significant wound shrinkage (p <.05) with a more significant decrease in the PUSH Tool scores (p <.05). The wounds were assessed with the tool and the 3DWM system. Device measurements were found to be correlated with PUSH Tool findings (p <.05). There was a significant correlation between device-measured granulation findings and PUSH Tool score results of the experimental group's third measurements (p <.05). We conclude that NPWT is an effective treatment method for pressure injuries, and 3DWM device is a useable wound assessment tool.