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題名:比較取皮區使用不同敷料材質對植皮手術病患之成效
書刊名:榮總護理
作者:嚴美華何玉鈴王曼溪
作者(外文):Yen, Mei-huaHo, Yu-lingWang, Man-hsi
出版日期:2010
卷期:27:3
頁次:頁285-295
主題關鍵詞:植皮手術取皮區透明薄膜敷料親水性纖維敷料Split-thickness skin graftDonor sitePolyurethane filmHydrofiber dressing
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:27
  • 點閱點閱:5
本研究目的在比較不同敷料材質應用在植皮手術病患的取皮區之成效。採類實驗研究設計,以植皮病患為研究對象,收集60位個案採自身對照法,大腿取皮區分別使用親水性纖維敷料及透明薄膜敷料作為實驗組與對照組,觀察術後第1-7、10、14、21天之傷口換藥次數、換藥時間、疼痛分數、癒合人數百分比及感染率等。研究結果顯示兩組在換藥次數無統計上顯著差異(p=.146),在換藥時間,親水性纖維敷料比透明薄膜敷料多2.3分鐘(p<.05);而在術後第1天,親水性纖維敷料比透明薄膜敷料的疼痛分數高(2.1v.s.0.8, p<.001),達統計上顯著差異,術後第4天起,親水性纖維敷料疼痛分數下降的改變量比透明薄膜敷料大(p<.001);術後第10、14、21天,親水性纖維敷料癒合人數百分比較透明薄膜敷料多(p<.001);但兩組之感染率卻未達統計上差異(p>.05)。本研究使用兩種敷料應用於取皮區都有不同結果,使用親水性纖維敷料傷口癒合快,而使用透明薄膜敷料則比較不痛,可供臨床上選擇之參考。
The purpose of this study was to present the outcome between the use of Aquacel and Opsite on skin graft donor sites. The study was designed as a case control study, and 60 patients were recruited. Each donor site was divided into two areas which were dressed individually with Aquacel (experimental groups) and Opsite (control groups). The results showed that there was no significant difference in the frequency of dressing change. The dressing time was lesser for Opsite group compared to Aquacel group (p<.05), and Aquacel group reported higher pain level than Opsite group in the initial post-operation (post-op) day. However, the pain was relieved significantly on the 4th post-op day (p<.001). Aquacel group had shorter wound healing time (p<.001). While the infection rate was same for both (p>.05). None of the materials were optimal dressing for skin graft donor sites, but Aquacel provided more rapid wound healing on donor sites and Opsite was the least painful material. These factors can be considered by health care professionals when making a clinical choice.
期刊論文
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2.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
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6.林聿山、黃國峰、楊振(2002)。利用愛康膚敷料處理燙傷病人頭皮取皮部位的初期報告。中華整形外科醫誌,11(4),264-272。  延伸查詢new window
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8.蔡廣蓮(2006)。Opsite粘貼敷料在中小面積淺2度燒傷層面的應用。國際護理學雜誌,25(7),538-539。  延伸查詢new window
9.Akan, M.、Yildirim, S.、Misirlioglu, A.、Ulusoy, G.、Akoz, T.、Avci, G.(2003)。An alternative method to minimize pain in the split-thickness skin graft donor site。Plastic and Reconstructive Surgery,111(7),2243-2249。  new window
10.Barnea, Y.、Amir, A.、Leshem, D.、Zaretski, A.、Weiss, J.、Shafir, R.(2004)。Clinical comparative study of aquacel and paraffin gauze dressing for split-skin donor site treatment。Annals of Plastic Surgery,53(2),132-136。  new window
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13.Horch, R. E.、Stark, G. B.(1998)。Comparison of the effect of a collagen dressing and a polyurethane dressing on the healing of split thickness skin graft (STSG) donor sites。Scandinavian Journal of Plastic Reconstructive Surgery and Hand Surgery,32(4),407-413。  new window
14.Patterson, I.、Wong, T. E.(2006)。Quilting and chloromycetin ointment: An easier way to manage full-thickness skin grafts。Plasict Reconstructive Sureryg,118(7),1551-1556。  new window
15.Poonyakariyagorn, T.、Sirimaharaj, W.、Pinchai, O.、Angspatt, A.(2002)。Comparison among Opsite, polyvinyl chloride filmand tulle gauze in the treatment of skin graft donor sitet。Journal of the Medical of Assocication of Thailand,85(4),455-461。  new window
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17.Rennekampff, H. O.、Rabbels, J.、Reinhard, V.、Becker, S. T.、Schaller, H. E.(2006)。Comparing the vancouver scar scale with the cutometer in the assessment of donor site wounds treated with various dressings in a randomized trial。Journal of Burn Care & Research,27(3),345-351。  new window
18.Terrill, P. J.、Goh, R. C. W.、Bailey, M. J.(2007)。Split-thickness skin graft donor sites:Acomparative study of two absorbent dressings。Journal of Wound Care,16(10),433-438。  new window
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學位論文
1.Kohr, R.(2006)。Changing a dressing: The nurse's experience(博士論文)。University of Alberta。  new window
其他
1.Demirtas, Y.,Yagmur, C.,Soylemez, F.,Ozturk, N.,Demir, A.(2010)。Management of split-thickness skin graft donor site: A prospective clinical trial for comparison of five different dressing materials,http://www.sciencedirect.com。  new window
 
 
 
 
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