目的:这项研究的目的是描述患者对难以愈合的伤口使用the清创疗法(MDT)的经验和满意度。
方法:描述性,横断面研究。
方法:样本包括60名参与者,60%为男性(n=36)。他们的平均年龄为62.9(SD=20)岁。几乎一半的参与者有下肢伤口(n=26;43.3%),糖尿病足溃疡(n=18;30%),和压力伤害(n=9;15%)。大多数人通过生物袋接受the治疗(n=36;60%)。
方法:参与者填写了为研究目的而设计的问卷,该问卷查询了人口统计学和相关的临床特征,当前的健康状况,包括当前的局部治疗,和他们慢性伤口的持续时间。在MDT之前,有九个项目查询了情绪反应,虫疗法的数量和方法,在治疗期间经历的不适,以及有关这种治疗的信息来源。
结果:开始MDT之前的情绪反应包括厌恶(n=30,50%),焦虑(n=26,43.3%),对其有效性的怀疑(n=20,33.3%),和怀疑(n=11,18.3%)。大约三分之一的参与者报告有咬人的感觉,瘙痒,和对the的恐惧。尽管有这些感觉,大多数(n=38,63.3%)表示他们对治疗结果感到满意,并愿意在需要时接受额外的MDT.
结论:虽然大多数慢性伤口愈合的参与者报告了与MDT相关的负面情绪,超过一半的人表示他们对治疗结果感到满意,并愿意接受重复治疗.
OBJECTIVE: The purpose of this study was to describe patient experiences and satisfaction with use of maggot debridement therapy (MDT) for hard-to-heal wounds.
METHODS: Descriptive, cross-sectional study.
METHODS: The sample comprised 60 participants, 60% were male (n = 36). Their mean age was 62.9 (SD = 20) years. Almost half of participants had lower extremity wounds (n = 26; 43.3%), diabetic foot ulcers (n = 18; 30%), and pressure injuries (n = 9; 15%). Most received maggot therapy via biobags (n = 36; 60%).
METHODS: Participants completed a questionnaire designed for purposes of the study that queried demographic and pertinent clinical characteristics, current health status including current topical therapies, and duration of their chronic wound. Nine items queried emotional responses prior to MDT, the amount and method of the maggot therapy, discomfort experienced during therapy, and sources of information regarding this treatment.
RESULTS: Emotional responses before starting MDT included disgust (n = 30, 50%), anxiety (n = 26, 43.3%), doubts about its effectiveness (n =20, 33.3%), and disbelief (n = 11, 18.3%). Approximately one-third of participants reported feelings of biting, itching, and fear of the maggots. Despite these feelings, a majority (n = 38, 63.3%) indicated that they were pleased with treatment outcome and willing to undergo additional MDT if needed.
CONCLUSIONS: While a majority of participants with nonhealing chronic wounds reported negative emotions association with MDT, more than half indicated that they were pleased with the outcome of treatment and willing to undergo repeat treatment if indicated.