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題名：傷口換藥疼痛護理
書刊名：護理雜誌
作者：靳燕芬
作者(外文)：Chin, Yen-fan
出版日期：2007
卷期：54:3
頁次：頁87-91
主題關鍵詞：傷口換藥；疼痛；護理；Wound care；Pain；Nursing
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(18) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:18
  • 共同引用共同引用:16
  • 點閱點閱:46
傷口換藥為促進傷口癒合之重要措施，卻可能造成個案傷口疼痛。本文探討影響傷口換藥疼痛之相關因素以及緩解傷口換藥疼痛措施之成效。傷口換藥疼痛之相關因素包括：不適當的換藥技術、發炎反應、情緒、認知與社會文化因素。為緩解傷口換藥疼痛，護理人員應採行合宜換藥技術，選用非黏著性之敷料或使用換藥頻率較低之換藥方式。可運用音樂治療與芳香療法以緩解換藥後之傷口疼痛，但運用分散注意力法時，應考量個案之個別差異性。
Wound care is an important step in promoting wound healing, but it may cause wound care pain. This article aims to explore factors influencing wound care pain and the effectiveness of various interventions to alleviate it. Five major factors that influence wound care pain include inappropriate dressing change techniques, inflammation response, emotion, cognition, and social-cultural factors. Nurses should apply appropriate dressings and dressing change techniques to relieve wound care pain. Music therapy and aromatherapy can alleviate wound pain after dressing change. But distraction techniques should be used in conjunction with consideration of the needs of the individual subject.
期刊論文
1.曾月霞(20050800)。芳香療法於護理的應用。護理雜誌，52(4)，11-15。new window  延伸查詢new window
2.Borland, M. L.、Bergesio, R.、Pascoe, E. M.、Turner, S.、Woodger, S.(2005)。Intranasal fentanyl is an equivalent analgesic to oral morphine in paediatric bums patients for dressing changes: A randomised double blind crossover study。Burns: Journal of the International Society for Burn Injuries，31(7)，831-837。  new window
3.Briggs, M.、TorraiBou, J. E.、European Wound Management Association(2003)。Addressing the pain: Understanding the origin of wound pain during dressing change。Ostomy Wound Management，49(2)，10-12。  new window
4.Doughty, D. B.(2004)。Strategies for minimizing chronic wound pain。Home Healthcare Nurse，22(11)，784-787。  new window
5.Evans, E.、Gray, M.(2005)。Do topical analgesics reduce pain associated with wound dressing changes or debridement of chronic wounds。Journal of Wound, Ostomy & Continence Nursing，32(5)，287-290。  new window
6.Finn, J.、Wright, J.、Fong, J.、Mackenzie, E.、Wood, F.、Leslie, G.(2004)。A randomised crossover trial of patient controlled intranasal fentanyl and oral morphine for procedural wound care in adult patients with burns。Burns，30(3)，262-268。  new window
7.Fratianne, R. B.、Prensner, J, D.、Huston, M. J.、Super, D. M.、Yowler, C. J.、Standley, J. M.(2001)。The effect of music-based imagery and musical alternate engagement on the bum debridement process。Journal of Burn Care & Rehabilitation，22(1)，47-53。  new window
8.Krasner, D. L.(2002)。Managing wound pain in patients with vacuum-assisted closure devices。Ostomy Wound Management，48(5)，38-43。  new window
9.Lalau, J. D.、Bresson, R.、Charpentier, P.、Coliche, V.、Erlher, S.、Ha Van, G.(2002)。Efficacy and tolerance of calcium alginate versus vaseline gauze dressings in the treatment of diabetic foot lesions。Diabetes & Metabolism，28(3)，223-229。  new window
10.Landolt, M. A.、Marti, D.、Widmer, J.、Meuli, M.(2002)。Psychosocial forum. Does cartoon movie distraction decrease burned children’s pain behavior?。Journal of Burn Care & Rehabilitation，25(1)，61-65。  new window
11.Lasoff, E. M.、McEttrick, M. A.(1986)。Participation versus diversion during dressing change: Can nurses’ attitudes change?。Issues in Comprehensive Pediatric Nursing，9(6)，391-398。  new window
12.Meaume, S.、Teot, L.、Lazareth, I.、Martini, J.、Bohbot, S.(2004)。The importance of pain reduction through dressing selection in routine wound management: The MAPP study。Journal of Wound Care，13(10)，409-413。  new window
13.Meaume, S.、Ourabah, Z.、Cartier, H.、Granel-Brocard, F.、Combemale, P.、Bressieux, J. M.(2005)。Evaluation of a lipidocolloid wound dressing in the local management of leg ulcers。Journal of Wound Care，14(1)，329-334。  new window
14.Mendez-Eastman, S.(2002)。Wound therapy。Nursing，32(5)，59-63。  new window
15.Moffatt, C. J.、Franks, P. J.、Hollinworth, H.(2003)。An international perspective on wound pain and trauma。Ostomy Wound Management，49(4)，12-14。  new window
16.Prakash, S.、Fatima, T.、Pawar, M.(2004)。Patient-controlled analgesia with fentanyl for bum dressing changes。Anesthesia & Analgesia，99(2)，552-555。  new window
17.Robert, R.、Brack, A.、Blakeney, P.、Villarreal, C.、Rosenberg, L.、Thomas, C.(2003)。A double-blind study of the analgesic efficacy of oral transmucosal fenanyl citrate and oral morphine in pediatric patients undergoing burn dressing change and tubbing。Journal of Burn Care & Rehabilitation，24(6)，351-355。  new window
18.Stotts, N. A.、Puntillo, K.、Morris, A. B.、Stanik-Hutt, J.、Thompson, C. L.、White, C.(2004)。Wound care pain in hospitalized adult patients。Heart and Lung，33(5)，321-332。  new window
19.Weinberg, K.、Birdsall, C.、Vail, D.、Marano, M. A.、Petrone, S. J.、Mansour, E. H.(2000)。Pain and anxiety with bum dressing changes: Patient self-report。Journal of Burn Care Rehabilitation，21(2)，157-161。  new window
20.靳燕芬(20061200)。敷料與傷口換藥疼痛。護理雜誌，53(6)，73-77。new window  延伸查詢new window
21.Kane, F. M.、Brodie, E. E.、Coull, A.、Coyne, L.、Howd, A.、Milne, A.(2004)。The analgesic effect of odour and music upon dressing change。British Journal of Nursing，13(19)，4-12。  new window
22.Miller, A. C.、Hickman, L. C.、Lemasters, G. K.(1992)。A distraction technique for control of burn pain。Journal of Burn Care and Rehabilitation，13，576-580。  new window
圖書論文
1.Dallam, L. E.、Barkauskas, C.、Ayello, E. A.、Baranoski, S.(2003)。Pain management and wounds。Wound care essentials: Practice principles。Philadelphia, PA：Lippincott Willikins。  new window
2.Ersek, M.、Poe, C. M.(2004)。Pain。Medical-surgical nursing: Assessment and management of clinical problems。St. Louis, MO：Mosby。  new window
 
 
 
 
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