The impact of atraumatic vs conventional dressings on pain and stress.
Objective: To compare the pain and stress experiences of patients with chronic wounds being treated with atraumatic vs conventional dressings at dressing change. Method: This exploratory study adopted an independent samples design to identify any differences between reported levels of pain and stres...
| Publicado en: | Journal of Wound Care Vol. 21; no. 5; pp. 209 - 214 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
May2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=75495301&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 75495301 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: May2012 vid: 21 iid: 5 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 75495301 104452939 104452939 10.12968/jowc.2012.21.5.209 75495301 ppf: 209 ppct: 5 formats: fmt: @attributes: type: P tig: atl: The impact of atraumatic vs conventional dressings on pain and stress. aug: au: Upton, D. Solowiej, K. affil: Professor, Health Psychology sug: subj: Bandages and Dressings Pain Psychosocial Factors Wounds, Chronic Therapy Stress, Psychological Human Exploratory Research Scales State-Trait Anxiety Inventory Questionnaires Adult Middle Age Aged Aged, 80 and Over Hydrocortisone Analysis Purposive Sample Data Analysis Software T-Tests Descriptive Statistics Male Female Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objective: To compare the pain and stress experiences of patients with chronic wounds being treated with atraumatic vs conventional dressings at dressing change. Method: This exploratory study adopted an independent samples design to identify any differences between reported levels of pain and stress associated with the use of atraumatic and conventional dressings used in treatment regimens of patients with chronic wounds. Physiological and psychological assessments of pain and stress were recorded at dressing change (including numerical ratings, heart rate, blood pressure, respiration rate, GSR, salivary cortisol and the Perceived Stress Scale (PSS) and State Trait Anxiety Inventory (STAI) questionnaire surveys). Results: In total, 49 patients with chronic wounds took part in the study. Fifty-three percent of patients were male (n=26) and 47% were female (n=23). Patients were aged 38-95 years, with a mean age of 69.11 ± 14.08 years. Overall, 10 patients were receiving atraumatic dressings with Safetac technology as part of their routine wound treatment and 39 were receiving conventional dressings. Patients receiving atraumatic dressings reported significantly lower numerical pain and stress ratings and experienced significantly lower GSR at dressing change. Mean heart rate, blood pressure, salivary cortisol were also lower for patients with atraumatic dressings. However, patients' PSS (atraumatic=24.60, conventional=22.72) and STAI (atraumatic=34.90, conventional=33.21) scores were similar for both dressing type groups. Conclusion: This study provides a basis for understanding how different dressing types can impact pain and stress at dressing change. Acute episodes of pain and stress were much lower in patients receiving atraumatic dressings;0 however factors associated with the overall experience of living with a chronic wound may be contributing to underlying and ongoing feelings of stress and anxiety. The impact of these implications on selection of dressings and cost of care are also discussed. Declaration of interest: This research was commissioned by Mölnlycke Health Care. None of the authors work for Mölnlycke Health Care or have any financial interests with the company. There are no additional conflicts of interest to declare. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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