Patient Donor Side Use Aquacel-Foam or Aquacel Discussion of Patient Wound Care and Cost-Effectiveness

Sunday, 28 July 2019

Su-Hua Chiang, MS
Ward A194, Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC, Taipei City, Taiwan

Purpose:

To explore the difference between the patient's pain, 
the frequency of dressing change and the time required for dressing change,
dressing cost, wound infection and wound healing time by using
Aquacel-foam and Aquacel in the skin grafting area of skin grafting patients
Methods:
In the first change of the skin area, the fourth day, the seventh day,
the fourteenth day, when the biological dressing fell off the clinic,
the degree of pain, the change of the wound in the skin area (healing degree),
and the presence or absence of signs of infection (such as red) were measured. ,
swollen, purulent secretions, etc.), the time of each dressing change and
the amount of dressing dressing used in the code table, etc., the current
dressing method is to use the Aquacel in the skin area, unless the Aquacel
is displaced, slipped, excessively moist, Otherwise, it will not be updated.
Only when each dressing is changed, the wound exudate is evaluated,
and the appropriate dressing is used for adjustment.
Those who use Aquacel Foam in the skin area will not be replaced
if there is too much leakage of the wound exudate, so that the sealability
of the dressing is not replaced. As for whether the outer layer of the
dressing is placed with sterile dressing, it depends on the doctor.
All need to be fixed with elastic bandages
Results:
The degree of pain in Aquacel-foam dressing varies from 0 to 3 points. The degree of pain in Aquacel is 2-8 points.
The healing time of Aquacel-foam is 2 days longer than Aquacel, and wound healing has no effect
Conclusion:
Wound care is good, even reducing patient pain, promoting wound healing,
shortening the number of hospital stays. If appropriate dressing can be used,
it can reduce the time spent by medical staff, improve the actual benefits,
and provide the basis for clinical use. Win the goal of mutual benefit.