以患者为中心的护理(PCC)被认为是确定高质量的医疗保健标准。尊重患者的价值观,经验,需要,以及设计中的偏好,协调,提供护理强调了患者和医疗保健提供者之间治疗融洽的增强。伤口治疗涉及包括诊断和局部伤口敷料的多阶段过程。这通过一个协调的跨学科团队降低了感染的风险。在这个团队中,护士承担着特定的职业职能和角色。使用创新和科学证实的方法实施局部治疗可能会受到工作人员和患者自身知识不足或不适当知识的阻碍。这项研究提出了有关使用Luciliasericata幼虫治疗的慢性伤口患者护理的挑战,基于对当前科学文献的回顾。使用Medline对2002年至2022年的文献进行了批判性分析,PubMed,科克伦,和Termedia数据库,在接受和感知方面使用关键词,如“虫清创疗法”。作为初步选择的结果,472篇论文被确认,其中12种出版物被包括在这一概念的发展中。所获得的数据以表格的形式整理并呈现在结论部分,伴随着对个别研究的描述和参考。消极的心理和躯体感觉是使用Maggot清创疗法(MDT)治疗的患者中最突出的挑战之一。该组患者中与外周缺血或感染相关的疼痛需要预防疼痛,包括痛觉过敏和异常性疼痛,以提高方法公差。另一方面,增强患者对MDT的理解会减少负面情绪,加强积极的行为,并减轻焦虑程度。MDT是一种有效且安全的方法。其广泛用于慢性伤口需要医疗保健专业人员和患者教育的大量知识,以及他们的照顾者,培养积极的态度。
Patient-centered care (PCC) is recognized as a standard in healthcare for determining high quality. Honoring patients\' values, experiences, needs, and preferences in devising, coordinating, and delivering care underscores the enhancement of the therapeutic rapport between patients and healthcare providers. Wound treatment involves a multi-stage process encompassing diagnostics and local wound dressing, which reduces the risk of infection through a coordinated interdisciplinary team. Within this team, nurses undertake specific professional functions and roles. The implementation of local therapy using innovative and scientifically substantiated methods may be hindered by a deficit of knowledge or inappropriate knowledge among staff and patients themselves. This study presents the challenges concerning the care of patients with chronic wounds treated using Lucilia sericata larvae, based on a
review of the current scientific literature. A critical analysis of the literature spanning from 2002 to 2022 was conducted using the Medline, PubMed, Cochrane, and Termedia databases, employing keywords such as \"maggot debridement therapy\" in relation to acceptance and perception. As a result of the preliminary selection, 472 papers were identified, of which 12 publications were included in the development of this concept. The acquired data were organized and presented in the concluding section in the form of tables, accompanied by descriptions and references to individual studies. Negative psychological and somatic sensations were among the most prominent challenges among patients treated with Maggot Debridement Therapy (
MDT). Pain related to peripheral ischemia or infection in this group of patients requires pain prophylaxis, including hyperalgesia and allodynia, in order to improve method tolerance. On the other hand, augmenting patients\' understanding of
MDT diminishes negative emotions, reinforces positive behaviors, and mitigates anxiety levels.
MDT constitutes an effective and safe method. Its widespread use for chronic wounds requires substantial knowledge among healthcare professionals and patient education, along with that of their caregivers, to develop a positive attitude.