预防性负压伤口治疗减少手术部位感染:基于证据的文献综述
Marika Formosa1, Stephen J Ebejer1
1Department of Nursing, Faculty of Health Sciences, University of Malta, Msida, Malta.
SAGE open nursing
|November 4, 2024
概括
封闭的负压伤口治疗 (iNPWT) 可以减少腹腔切除术后手术部位感染 (SSIs). 这种疗法为预防高风险手术患者的SSI提供了有前途的方法.
科学领域:
- 手术护理 医疗护理
- 伤口护理管理管理
- 预防感染 预防感染
背景情况:
- 手术部位感染 (SSI) 是一种常见的术后并发症,需要仔细的无菌护理.
- 封闭切口负压伤口治疗 (iNPWT) 是一种新兴的技术,以尽量减少外部伤口污染风险.
研究的目的:
- 评估iNPWT在降低高风险关闭腹腔切口中SSI的有效性.
- 为了指导护理从业人员和医生在伤口护理中预防SSI.
主要方法:
- 一个系统的文献搜索确定了解决研究问题的相关研究.
- 使用PRISMA检查表和CASP工具进行研究选择和批判性评估.
- 分析了11篇文章,包括RCT和系统审查.
主要成果:
- 与标准带相比,在腹腔切除术患者中使用iNPWT和减少SSI发生率之间发现了积极的关联.
- 大多数研究都支持iNPWT作为降低SSI率的有益预防策略.
结论:
- iNPWT显示出在封闭性腹腔切口中作为SSI预防措施的潜力.
- 虽然研究异质性存在,但iNPWT可以为针对性SSI预防护理的护理决策提供信息.
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