Abstract：
Management of hard-to-heal wounds remains a significant challenge for healthcare systems, with substantial economic burdens. Maggot debridement therapy, using sterile larvae of Lucilia sericata, effectively debrides necrotic tissue and promotes healing, yet its use is limited. This narrative review examines the influences on the use of this form of debridement by registered nurses, focusing on knowledge and attitudes, treatment-related pain, and practical issues. Findings indicate that wound specialist nurses are more knowledgeable and supportive of maggot debridement therapy compared with non-wound specialists, underscoring the need for targeted educational interventions. Pain management is critical, with mixed reports on pain levels, highlighting the necessity for tailored pain-relief strategies. Practical challenges include procurement difficulties and cost, suggesting a need for streamlined processes and clear clinical guidelines. Addressing these barriers through education, research, and improved logistics could enhance the acceptance and use of maggot debridement therapy, improving patient outcomes in wound management.
摘要：
难以愈合的伤口的管理仍然是医疗保健系统的重大挑战，沉重的经济负担。Maggot清创疗法，使用的是丝叶夜蛾的无菌幼虫，有效清除坏死组织，促进愈合，但它的使用是有限的。这篇叙述性综述考察了注册护士使用这种清创形式的影响，专注于知识和态度，治疗相关疼痛,和实际问题。研究结果表明，与非伤口专家相比，伤口专科护士更了解和支持the清创治疗。强调需要有针对性的教育干预。疼痛管理至关重要，关于疼痛程度的报道好坏参半，强调量身定制的疼痛缓解策略的必要性。实际挑战包括采购困难和成本,建议需要简化流程和明确的临床指南。通过教育解决这些障碍，研究,和改进的物流可以提高对the的接受和使用清创疗法，改善患者伤口管理的结果。
