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The Effectiveness of Negative Pressure Therapy: Nursing Approach.
Álvaro Astasio-Picado1, María Dolores Murcia Montero1, Miriam López-Sánchez2
1Physiotherapy, Nursing and Physiology Department, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Toledo, Spain.
Negative pressure therapy (NPT) effectively manages complex wounds, promoting granulation and preventing infections. This review highlights its benefits and optimal pressure settings for various patient groups, including pediatrics.
Area of Science:
- Wound healing research
- Medical technology assessment
- Regenerative medicine
Background:
- Complex wounds necessitate advanced management strategies.
- High wound care costs emphasize the need for effective therapies.
- Negative pressure therapy (NPT) is an emerging technology with growing evidence for complex wound treatment.
Purpose of the Study:
- To review the efficacy of NPT in complex wounds.
- To compare NPT with conventional treatments and combination therapies.
- To evaluate patient quality of life and characteristics during NPT.
Main Methods:
- Bibliographic review of studies published from November 2015 to June 2022.
- Searched databases include PubMed, Google Scholar, Web of Science, Scielo, and Scopus.
- Analysis focused on NPT effectiveness, comparative treatments, and patient outcomes.
Main Results:
- Commonly used pressures for NPT range from -125 mmHg to -150 mmHg.
- Pediatric pressure settings vary: -75 to -125 mmHg for children over 12, and -50 to -75 mmHg for those under 2.
- NPT demonstrates significant benefits in granulation, infection control, and wound closure.
Conclusions:
- Negative pressure therapy (NPT) accelerates granulation and effectively treats infections.
- NPT offers versatile dressings and applications, often enhanced when combined with other therapies.
- NPT is a valuable tool for accelerating complex wound closure and improving patient outcomes.
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